Healthcare Provider Details

I. General information

NPI: 1922941228
Provider Name (Legal Business Name): CREATIVE CLEANING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 LAMARTINE TER
YONKERS NY
10701-2306
US

IV. Provider business mailing address

16 LAMARTINE TER
YONKERS NY
10701-2306
US

V. Phone/Fax

Practice location:
  • Phone: 347-965-8480
  • Fax:
Mailing address:
  • Phone: 347-965-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. YRIS BONISUD FELIZ
Title or Position: PRESIDENT
Credential:
Phone: 347-965-8480