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General NPI Number Information
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NPI Number | 1114528221
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Entity Type | Organization
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Legal Business Name | CMF CARE INC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 118 BAXTER ST STE 206
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City | NEW YORK
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State | NY
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Zip | 10013-3675
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Country | US
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Telephone | 917-299-7486
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Fax |
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Provider Business Mailing Address
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Address Line | 8261 166TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1820
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KEPING DU
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Credential | LAC
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Telephone | 917-299-7486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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