Provider Demographics
NPI:1861117913
Name:CONVENIENT MONITORING GROUP LLC
Entity type:Organization
Organization Name:CONVENIENT MONITORING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BABACAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CISSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-705-1850
Mailing Address - Street 1:169 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2220
Mailing Address - Country:US
Mailing Address - Phone:347-730-9448
Mailing Address - Fax:212-888-6024
Practice Address - Street 1:1755 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6849
Practice Address - Country:US
Practice Address - Phone:347-730-9448
Practice Address - Fax:212-888-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management