Provider Demographics
NPI:1871691444
Name:CITY CARE FAMILY PRACTICE, P.C.
Entity type:Organization
Organization Name:CITY CARE FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KEIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:HONDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-545-1888
Mailing Address - Street 1:461 PARK AVE S FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7570
Mailing Address - Country:US
Mailing Address - Phone:212-545-1888
Mailing Address - Fax:212-545-1919
Practice Address - Street 1:461 PARK AVE S FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7570
Practice Address - Country:US
Practice Address - Phone:212-545-1888
Practice Address - Fax:212-545-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty