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CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1033612437


NPI Information

NPI: 1033612437
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC

Doing Business As: CITYMD URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2037792

Address:
1930 DEER PARK AVE
DEER PARK, NY
ZIP 11729
Phone: (631) 254-5900
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CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Deer Park, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1033612437. The provider is registered as an organization entity type.
The provider Is Doing Business As Citymd Urgent Care.

The provider's business location address is:

1930 DEER PARK AVE
DEER PARK, NY
ZIP 11729-328
Phone: (631) 254-5900
Fax: (631) 392-0948

The provider's authorized official is Marlena Simpson .
The authorized official title is Director Of Credentialing and has the following contact phone number (516) 786-4300.

The CLIA number assigned to this NPI record is 33D2037792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 3/12/2018.


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
1261QU0200XClinic/CenterUrgent 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: 5/5/2024

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