Provider Demographics
NPI:1619840592
Name:HILLSIDE SENIOR CENTER LLC
Entity type:Organization
Organization Name:HILLSIDE SENIOR CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULLAH AL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-514-0101
Mailing Address - Street 1:600 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2511
Mailing Address - Country:US
Mailing Address - Phone:516-514-0101
Mailing Address - Fax:
Practice Address - Street 1:600 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2511
Practice Address - Country:US
Practice Address - Phone:516-514-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care