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CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1013593631


NPI Information

NPI: 1013593631
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
22405 JAMAICA AVE
QUEENS VILLAGE, NY
ZIP 11428
Phone: (718) 571-9395
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CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Queens Village, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1013593631. The provider is registered as an organization entity type.

The provider's business location address is:

22405 JAMAICA AVE
QUEENS VILLAGE, NY
ZIP 11428-019
Phone: (718) 571-9395

The provider's authorized official is Ilana Kantor .
The authorized official title is Enrollment Specialist and has the following contact phone number (516) 453-0435.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/23/2021.


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
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.