Healthcare Provider Details

I. General information

NPI: 1275861544
Provider Name (Legal Business Name): PROMPTA CARE CORPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2009
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1067 LAFAYETTE AVE 2B
BROOKLYN NY
11221-3053
US

IV. Provider business mailing address

1067 LAFAYETTE AVE 2B
BROOKLYN NY
11221-3053
US

V. Phone/Fax

Practice location:
  • Phone: 347-725-0002
  • Fax:
Mailing address:
  • Phone: 347-725-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN MARK SEARS
Title or Position: PRESIDENT
Credential:
Phone: 347-725-0002