Provider Demographics
NPI:1225488166
Name:BANGLA CDPAP SERVICES, INC
Entity Type:Organization
Organization Name:BANGLA CDPAP SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABU
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-769-0966
Mailing Address - Street 1:3738 73RD ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6270
Mailing Address - Country:US
Mailing Address - Phone:646-769-0966
Mailing Address - Fax:
Practice Address - Street 1:3738 73RD ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6270
Practice Address - Country:US
Practice Address - Phone:646-769-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health