Active NPI
City Pro Group
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1407118441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 174.400000X
- Legal business name
- CITY PRO GROUP
- Practice address
- 1975 84TH St
Apt. A7
Brooklyn, NY 11214-3065 - Phone
- (917) 696-7319
- NPI assigned
- Jun 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anna Klyachko, MS,ED
- Title
- Teacher
- Phone
- (917) 696-7319
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 174.400000X | NY | Primary |
Addresses
Primary practice location
1975 84TH St
Apt. A7
Brooklyn, NY 11214-3065
Mailing address
1975 84TH St
Apta7
Brooklyn, NY 11214-3065
Phone (917) 696-7319
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1821345133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1407118441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 84TH ST",
"address_2": "APTA7",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143065",
"telephone_number": "917-696-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 84TH ST",
"address_2": "APT. A7",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143065",
"telephone_number": "917-696-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY PRO GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "KLYACHKO",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "TEACHER",
"authorized_official_telephone_number": "917-696-7319",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS,ED"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "174.400000X",
"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 14, 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.