Organization
CITY PRO GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADEN JOSEPHSON (PRESIDENT)
(718) 769-2698
Entity
Organization
Contact information
Practice address
2163 E 7TH ST, SUITE C, BROOKLYN, NY 11223-4933
(718) 998-3364
(718) 336-7403
Mailing address
2163 E 7TH ST, SUITE C, BROOKLYN, NY 11223-4933
(718) 998-3364
(718) 336-7403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0913111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01479661
—
NY
Enumeration date
11/01/2006
Last updated
05/05/2009
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