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NPI Code Detail

MEDICARE: CITY PRO GROUP,INC

MEDICARE: CITY PRO GROUP,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
1332B00000XDurable Medical Equipment & Medical Supplies0913111NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326125188
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY PRO GROUP,INC
Provider Business Mailing Address
First Line : 2163 E 7TH ST
Second Line : SUITE C
City : BROOKLYN
State : NY
Zip : 11223-4933
Country : US
Telephone Number : 718-998-3364
Fax Number : 718-336-7403
Provider Business Practice Location Address
First Line : 2163 E 7TH ST
Second Line : SUITE C
City : BROOKLYN
State : NY
Zip : 11223-4933
Country : US
Telephone Number : 718-998-3364
Fax Number : 718-336-7403
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRADEN JOSEPHSON
Credential :
Telephone Number : 718-769-2698
Provider Enumeration Date : 11/01/2006
Last Update Date : 05/05/2009

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Directions to “CITY PRO GROUP,INC ” Practice Location

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