Provider Demographics
NPI:1891941035
Name:CITICARE SOLUTIONS
Entity Type:Organization
Organization Name:CITICARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:FANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALERTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-856-6800
Mailing Address - Street 1:1125 FULTON ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2613
Mailing Address - Country:US
Mailing Address - Phone:718-856-6800
Mailing Address - Fax:718-856-6878
Practice Address - Street 1:1125 FULTON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2613
Practice Address - Country:US
Practice Address - Phone:718-856-6800
Practice Address - Fax:718-856-6878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency