Provider Demographics
NPI:1114281979
Name:CITY PRO GROUP INC.
Entity Type:Organization
Organization Name:CITY PRO GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:AGATHA
Authorized Official - Last Name:MANWARING
Authorized Official - Suffix:
Authorized Official - Credentials:SI ( MS, ED)
Authorized Official - Phone:718-938-5528
Mailing Address - Street 1:2625 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3979
Mailing Address - Country:US
Mailing Address - Phone:718-769-2698
Mailing Address - Fax:
Practice Address - Street 1:2514 CORTELYOU RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6217
Practice Address - Country:US
Practice Address - Phone:718-769-2698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY PRO GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency