Healthcare Provider Details
I. General information
NPI: 1457706947
Provider Name (Legal Business Name): CDPAP PLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2016
Last Update Date: 04/12/2024
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8856 162ND ST FL 1
JAMAICA NY
11432-4164
US
IV. Provider business mailing address
8856 162ND ST FL 1
JAMAICA NY
11432-4164
US
V. Phone/Fax
- Phone: 917-780-6988
- Fax: 347-809-4660
- Phone: 917-780-6988
- Fax: 347-809-4660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MD ANAYET
MONSI
Title or Position: CEO
Credential:
Phone: 917-780-6988