Healthcare Provider Details

I. General information

NPI: 1336052224
Provider Name (Legal Business Name): CCO SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 FIREMENS MEMORIAL DR STE 101A
POMONA NY
10970-3569
US

IV. Provider business mailing address

26 FIREMENS MEMORIAL DR STE 101A
POMONA NY
10970-3569
US

V. Phone/Fax

Practice location:
  • Phone: 845-414-8080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: YAKOV TAUB
Title or Position: BOARD MEMBER
Credential:
Phone: 845-414-8080