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Organization

NYC PRO HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE RICARDO DIAZ M ED (ADMINISTRATOR)
(718) 713-7041
Entity
Organization

Contact information

Practice address
2102 AVENUE Z STE 304, BROOKLYN, NY 11235-2812
(718) 713-7041
(347) 779-0433
Mailing address
2102 AVENUE Z STE 304, BROOKLYN, NY 11235-2812
(718) 713-7041
(347) 779-0433

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
133V00000X
Registered Dietitian
163W00000X
Registered Nurse
163WG0000X
General Practice Registered Nurse
163WP0200X
Pediatric Registered Nurse
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225X00000X
Occupational Therapist
227800000X
Certified Respiratory Therapist
235Z00000X
Speech-Language Pathologist
253Z00000X
In Home Supportive Care Agency
332B00000X
Durable Medical Equipment & Medical Supplies
347E00000X
Transportation Broker
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06323362
NY
Enumeration date
11/13/2019
Last updated
02/16/2021
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