CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1295498988

NPI Information

CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Ridgewood, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1295498988. The provider is registered as an organization entity type.

The provider's business location address is:

5626 MYRTLE AVE
RIDGEWOOD, NY
ZIP 11385-736
Phone: (718) 571-9714

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 CLIA number assigned to this NPI record is 33D2242455 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.

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:

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