Provider Demographics
NPI:1841092178
Name:CITY FAMILY HEALTH NP HOUSE CALL PROVIDER, PLLC
Entity type:Organization
Organization Name:CITY FAMILY HEALTH NP HOUSE CALL PROVIDER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SAHADATU
Authorized Official - Middle Name:
Authorized Official - Last Name:AKILU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:646-662-1819
Mailing Address - Street 1:90 STATE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-1704
Mailing Address - Country:US
Mailing Address - Phone:646-662-1819
Mailing Address - Fax:
Practice Address - Street 1:90 STATE ST STE 700
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-1704
Practice Address - Country:US
Practice Address - Phone:646-662-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center