Healthcare Provider Details

I. General information

NPI: 1114528221
Provider Name (Legal Business Name): CMF CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 BAXTER ST STE 206
NEW YORK NY
10013-3675
US

IV. Provider business mailing address

8261 166TH ST
JAMAICA NY
11432-1820
US

V. Phone/Fax

Practice location:
  • Phone: 917-299-7486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KEPING DU
Title or Position: DIRECTOR
Credential: LAC
Phone: 917-299-7486