NY URGENT CARE PRACTICE PC NPI 1205259611

NPI Information

NPI: 1205259611
Provider Name: NY URGENT CARE PRACTICE, PC

Other Name: FIVE STAR URGENT CARE FAIRMOUNT

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

Specialization: Urgent Care

Address:
3504 W GENESEE ST
STE 1B
SYRACUSE, NY
ZIP 13219
Phone: (315) 401-0754
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NY URGENT CARE PRACTICE, PC is an urgent care clinic center in Syracuse, NY. NY URGENT CARE PRACTICE, PC NPI is 1205259611. The provider is registered as an organization entity type.
The provider Other Name Is Five Star Urgent Care Fairmount.

The provider's business location address is:

3504 W GENESEE ST
STE 1B
SYRACUSE, NY
ZIP 13219-008
Phone: (315) 401-0754
Fax: (315) 401-0755

The provider's authorized official is John C Radford .
The authorized official title is President/owner and has the following contact phone number (716) 699-9032.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 4/12/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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

NPI Synchronization or Removal

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