MEDICARE: FIRST-CARE OF NEW YORK 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
1	251E00000X	Home Health Agency	1140L002	NY

General Provider Information

NPI Number	:	1992815369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST-CARE OF NEW YORK INC.

Provider Business Mailing Address
First Line	:	2488 GRAND CONCOURSE
Second Line	:	SUITE #332
City	:	BRONX
State	:	NY
Zip	:	10458-5203
Country	:	US
Telephone Number	:	718-364-7251
Fax Number	:	718-364-7255

Provider Business Practice Location Address
First Line	:	2488 GRAND CONCOURSE
Second Line	:	SUITE #332
City	:	BRONX
State	:	NY
Zip	:	10458-5203
Country	:	US
Telephone Number	:	718-364-7251
Fax Number	:	718-364-7255

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTHONY RICCOBONO
Credential	:
Telephone Number	:	718-364-7251

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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