Organization
CITY PRO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA KLYACHKO MS,ED (TEACHER)
(917) 696-7319
Entity
Organization
Contact information
Practice address
1975 84TH ST, APT. A7, BROOKLYN, NY 11214-3065
(917) 696-7319
Mailing address
1975 84TH ST, APTA7, BROOKLYN, NY 11214-3065
(917) 696-7319
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
174.400000X
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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