Healthcare Provider Details

I. General information

NPI: 1508777053
Provider Name (Legal Business Name): NY CITI CARE ADULT HEALTH NP PRACTICE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CASALS PL APT 22D
BRONX NY
10475-3109
US

IV. Provider business mailing address

120 CASALS PL APT 22D
BRONX NY
10475-3109
US

V. Phone/Fax

Practice location:
  • Phone: 917-972-3585
  • Fax:
Mailing address:
  • Phone: 917-972-3585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GIFTY ASAFO-ADJEI
Title or Position: PERSIDENT
Credential: NP
Phone: 917-972-3585