Provider Demographics
NPI:1992277073
Name:CITY CARE MEDICAL SERVICES PC
Entity type:Organization
Organization Name:CITY CARE MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:YOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-864-8888
Mailing Address - Street 1:58 E 116TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-1147
Mailing Address - Country:US
Mailing Address - Phone:917-388-2860
Mailing Address - Fax:917-475-1152
Practice Address - Street 1:58 E 116TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-1147
Practice Address - Country:US
Practice Address - Phone:917-388-2860
Practice Address - Fax:917-475-1152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-29
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology