Active NPI
City Pro Group Inc.
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1114281979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CITY PRO GROUP INC.
- Practice address
- 2514 Cortelyou Rd
Brooklyn, NY 11226-6217 - Phone
- (718) 769-2698
- NPI assigned
- Jun 26, 2012
- Organization subpart
- Yes
- Parent organization
- CITY PRO GROUP INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gail Agatha Manwaring, SI ( MS, ED)
- Title
- ABA Therapist
- Phone
- (718) 938-5528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
2514 Cortelyou Rd
Brooklyn, NY 11226-6217
Mailing address
2625 E 14TH St
Brooklyn, NY 11235-3979
Phone (718) 769-2698
National Provider Directory
National Provider Directory- Part of
- Functional Life
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340668800000",
"number": "1114281979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353979",
"telephone_number": "718-769-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 CORTELYOU RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266217",
"telephone_number": "718-769-2698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY PRO GROUP INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY PRO GROUP INC.",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A",
"authorized_official_last_name": "MANWARING",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "AGATHA",
"authorized_official_title_or_position": "ABA THERAPIST",
"authorized_official_telephone_number": "718-938-5528",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SI ( MS, ED)"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.