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CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1063926129


NPI Information

NPI: 1063926129
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC

Doing Business As: CITYMD URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2140886

Address:
2902 3RD AVE
BRONX, NY
ZIP 10455
Phone: (718) 571-9276
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CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Bronx, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1063926129. The provider is registered as an organization entity type.
The provider Is Doing Business As Citymd Urgent Care.

The provider's business location address is:

2902 3RD AVE
BRONX, NY
ZIP 10455-601
Phone: (718) 571-9276
Fax: (718) 571-9277

The provider's authorized official is Marlena Simpson .
The authorized official title is Director Of Credentialing and has the following contact phone number (516) 786-4300.

The CLIA number assigned to this NPI record is 33D2140886 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2017 and was last updated on 11/28/2017.


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: 11/14/2023

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.