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NPI Code Detail

MEDICARE: CAREPRO OF NY INC

MEDICARE: CAREPRO OF NY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency2337L001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12337L001OTHERNYLICENSE NUMBER

General Provider Information

NPI Number : 1003360397
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREPRO OF NY INC
Provider Business Mailing Address
First Line : 1712 KINGS HWY
Second Line : SUITE 100
City : BROOKLYN
State : NY
Zip : 11229-1208
Country : US
Telephone Number : 718-717-7750
Fax Number : 718-717-7463
Provider Business Practice Location Address
First Line : 1712 KINGS HWY
Second Line : SUITE 100
City : BROOKLYN
State : NY
Zip : 11229-1208
Country : US
Telephone Number : 718-717-7750
Fax Number : 718-717-7463
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : IRINA BELUSHIN
Credential :
Telephone Number : 718-382-4424
Provider Enumeration Date : 08/04/2016
Last Update Date : 08/04/2016

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