Healthcare Provider Details

I. General information

NPI: 1205751336
Provider Name (Legal Business Name): CITY ACCESS NEW YORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 RICHMOND AVE STE 210
STATEN ISLAND NY
10314-3929
US

IV. Provider business mailing address

1911 RICHMOND AVE STE 210
STATEN ISLAND NY
10314-3929
US

V. Phone/Fax

Practice location:
  • Phone: 718-285-6548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: SOPHIA ROSSOVSKY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 718-285-6548