Healthcare Provider Details

I. General information

NPI: 1861706731
Provider Name (Legal Business Name): CITY-PRO GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 NEPTUNE AVE
BROOKLYN NY
11235-6302
US

IV. Provider business mailing address

236 NEPTUNE AVE
BROOKLYN NY
11235-6302
US

V. Phone/Fax

Practice location:
  • Phone: 718-401-0101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1793L001
License Number StateNY

VIII. Authorized Official

Name: DAVID JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 646-306-5735