Provider Demographics
NPI:1396184917
Name:CITY PRO GROUP, INC
Entity Type:Organization
Organization Name:CITY PRO GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-807-4280
Mailing Address - Street 1:25 BAY 14TH STREET 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:917-807-4280
Mailing Address - Fax:
Practice Address - Street 1:25 BAY 14TH ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3651
Practice Address - Country:US
Practice Address - Phone:917-807-4280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency