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CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1174089056


NPI Information

NPI: 1174089056
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 33D2166642

Address:
216 E 14TH ST STE B
NEW YORK, NY
ZIP 10003
Phone: (855) 924-8963
Get Directions

CITY MEDICAL OF UPPER EAST SIDE, PLLC is a multi-specialty clinic center in New York, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1174089056. The provider is registered as an organization entity type.

The provider's business location address is:

216 E 14TH ST STE B
NEW YORK, NY
ZIP 10003-105
Phone: (855) 924-8963
Fax: (844) 626-2847

The provider's authorized official is Marlena Simpson .
The authorized official title is Vp, Credentialing and has the following contact phone number (516) 453-0435.

The CLIA number assigned to this NPI record is 33D2166642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2019 and was last updated on 2/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 4/28/2024

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