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IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST PC NPI 1265852800


NPI Information

NPI: 1265852800
Provider Name: IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2080420

Address:
6906 18TH AVE
BROOKLYN, NY
ZIP 11204
Phone: (732) 335-9400
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IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC is an urgent care clinic center in Brooklyn, NY. IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC NPI is 1265852800. The provider is registered as an organization entity type.

The provider's business location address is:

6906 18TH AVE
BROOKLYN, NY
ZIP 11204-048
Phone: (732) 335-9400

The provider's authorized official is Esmat Sharobeem .
The authorized official title is Chief Medical Officer and has the following contact phone number (732) 335-9400.

The CLIA number assigned to this NPI record is 31D2080420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2014 and was last updated on 3/16/2015.


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 CareNEW YORKYes

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

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