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CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1306334677


NPI Information

NPI: 1306334677
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: 33D2112323

Address:
47 ROUTE 25A
ROCKY POINT, NY
ZIP 11778
Phone: (631) 821-5900
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CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Rocky Point, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1306334677. 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:

47 ROUTE 25A
ROCKY POINT, NY
ZIP 11778-846
Phone: (631) 821-5900
Fax: (631) 821-5906

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

The CLIA number assigned to this NPI record is 33D2112323 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/23/2018.


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

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