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IMMEDIATE MEDICAL CARE ASSOCIATES PLLC NPI 1083698377


NPI Information

NPI: 1083698377
Provider Name: IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
5700 W GENESEE ST
SUITE 100 SOUTH
CAMILLUS, NY
ZIP 13031
Phone: (315) 488-6393
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IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC is an emergency care clinic center in Camillus, NY. IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC NPI is 1083698377. The provider is registered as an organization entity type.

The provider's business location address is:

5700 W GENESEE ST
SUITE 100 SOUTH
CAMILLUS, NY
ZIP 13031-200
Phone: (315) 488-6393
Fax: (315) 488-5854

The provider's authorized official is Alan Mancusi-ungaro .
The authorized official title is Senior Partner and has the following contact phone number (315) 488-6393.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 12/10/2008.


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
1261QE0002XClinic/CenterEmergency CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1930066333OTHERNEW YORKMEDICARE RAILROAD
256893AMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
35556510001MEDICARE NSCNEW YORK
4930066334OTHERNEW YORKMEDICARE RAILROAD

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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