# CITY CARE MEDICAL SERVICES PC

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

## Provider details

- **NPI number:** 1992277073
- **Authorized official:** MS. ELLEN M YOE (OFFICE MANAGER)
- **Authorized official phone:** (212) 864-8888

## Contact information

- **Practice address:** 58 E 116TH ST, NEW YORK, NY 10029-1147
- **Practice address phone:** (917) 388-2860
- **Practice address fax:** (917) 475-1152
- **Mailing address:** 58 E 116TH ST, NEW YORK, NY 10029-1147
- **Mailing address phone:** (917) 388-2860
- **Mailing address fax:** (917) 475-1152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2018
- **Last updated:** 12/29/2018