Active NPI
City Pro Group, Inc
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1831452655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CITY PRO GROUP, INC
- Practice address
- 2625 E 14TH St
Brooklyn, NY 11235-3979 - Phone
- (718) 769-2698
- NPI assigned
- Jun 18, 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
- Liana Mandjavidze, MA
- Title
- School Psychologist
- Phone
- (718) 361-8755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
2625 E 14TH St
Brooklyn, NY 11235-3979
Mailing address
2625 E 14TH St
Brooklyn, NY 11235-3979
Phone (718) 769-2698
National Provider Directory
National Provider Directory- Tax ID family
- City Pro Groupinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1053673749
Locations
2625 E 14th St
Brooklyn, NY 11235
Phone (917) 340-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1831452655",
"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": "2625 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353979",
"telephone_number": "718-769-2698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY PRO GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "MANDJAVIDZE",
"authorized_official_first_name": "LIANA",
"authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
"authorized_official_telephone_number": "718-361-8755",
"authorized_official_credential": "MA"
},
"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 18, 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.