33D2097892 CLIA NUMBER - EXCEL URGENT CARE OF WANTAGH, PLLC EXCEL URGENT CARE

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Laboratory Demographics

CLIA Number: 33D2097892

Facility Name: EXCEL URGENT CARE OF WANTAGH, PLLC EXCEL URGENT CARE

Facility Address:
7001 AMBOY ROAD
STATEN ISLAND, NY
ZIP 10307
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Facility Phone Number: 845 565-3700

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1164594925

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	33D2097892
LAB Type	Other - URGENT CARE
Facility Name	EXCEL URGENT CARE OF WANTAGH, PLLC EXCEL URGENT CARE
Street	7001 AMBOY ROAD
City	STATEN ISLAND
State	NY
ZIP	10307
Phone	845 565-3700
CertificateType	4
CertificateEffectiveDate	8/12/2022
CertificateExpirationDate	8/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024