Provider Demographics
NPI:1093281628
Name:UNICARE C.D.C.
Entity Type:Organization
Organization Name:UNICARE C.D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-300-2870
Mailing Address - Street 1:132 32ND ST STE 405
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-1808
Mailing Address - Country:US
Mailing Address - Phone:718-301-7051
Mailing Address - Fax:
Practice Address - Street 1:132 32ND ST STE 405
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1808
Practice Address - Country:US
Practice Address - Phone:718-301-7051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPRV2264832OtherCENTERS PLAN FOR HEALTHY LIVING