Provider Demographics
NPI:1386160026
Name:CITY PHYSICIANS PC
Entity type:Organization
Organization Name:CITY PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-333-1394
Mailing Address - Street 1:PO BOX 245807
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-7807
Mailing Address - Country:US
Mailing Address - Phone:718-841-6562
Mailing Address - Fax:888-321-3121
Practice Address - Street 1:135 OCEAN PKWY STE 1T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2579
Practice Address - Country:US
Practice Address - Phone:718-841-6562
Practice Address - Fax:888-321-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty