SOUTHAMPTON URGENT MEDICAL CARE P C NPI 1003020017

NPI Information

SOUTHAMPTON URGENT MEDICAL CARE P C is a specialist in Southampton, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHAMPTON URGENT MEDICAL CARE P C NPI is 1003020017. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

609 HAMPTON RD
SOUTHAMPTON, NY
ZIP 11968-051
Phone: (631) 204-9600
Fax: (631) 204-9606

The provider's authorized official is Mark R Kot .
The authorized official title is Owner Md and has the following contact phone number (631) 204-9600.

The CLIA number assigned to this NPI record is 33D1011892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/3/2013.

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:

Other Identifiers

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

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