CITYCARE MEDICAL P.C. NPI 1689197451

NPI Information

  • NPI: 1689197451
  • Provider Name: CITYCARE MEDICAL P.C.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 4119 18TH AVE
    BROOKLYN, NY
    ZIP 11218
  • Phone: (718) 245-6042

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NPI Details

CITYCARE MEDICAL P.C. is a primary care clinic center in Brooklyn, NY. CITYCARE MEDICAL P.C. NPI is 1689197451. The provider is registered as an organization entity type.

The provider's business location address is:

4119 18TH AVE
BROOKLYN, NY
ZIP 11218-709
Phone: (718) 245-6042

The provider's authorized official is Kerill Pochetuhen .
The authorized official title is President and has the following contact phone number (718) 245-6042.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 7/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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