Provider Demographics
NPI:1427590330
Name:NYC INTER CITY HOMECARE AGENCY INC
Entity type:Organization
Organization Name:NYC INTER CITY HOMECARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADUTWUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-309-9960
Mailing Address - Street 1:PO BOX 520448
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-0008
Mailing Address - Country:US
Mailing Address - Phone:646-309-9960
Mailing Address - Fax:
Practice Address - Street 1:4755 WHITE PLAINS RD
Practice Address - Street 2:APT 6B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1115
Practice Address - Country:US
Practice Address - Phone:646-309-9960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care