# PROMED AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922249283
- **Authorized official:** MRS. SALLY PHILLIPS (STAFFING DIRECTOR)
- **Authorized official phone:** (212) 719-9600

## Contact information

- **Practice address:** 18 EAST 41 STREET, NEWYORK, NY 10017
- **Practice address phone:** (212) 719-9600
- **Mailing address:** 1943-76 STREET, BROOKLYN, NY 11214
- **Mailing address phone:** (718) 331-0526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 03/17/2009
