SOUTHAMPTON IMMEDIATE MEDICAL CARE PC NPI 1316185523

NPI Information

NPI: 1316185523
Provider Name: SOUTHAMPTON IMMEDIATE MEDICAL CARE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D0889145

Address:
290 N SEA RD
SOUTHAMPTON, NY
ZIP 11968
Phone: (631) 283-5900
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SOUTHAMPTON IMMEDIATE MEDICAL CARE PC is a primary care clinic center in Southampton, NY. SOUTHAMPTON IMMEDIATE MEDICAL CARE PC NPI is 1316185523. The provider is registered as an organization entity type.

The provider's business location address is:

290 N SEA RD
SOUTHAMPTON, NY
ZIP 11968-034
Phone: (631) 283-5900
Fax: (631) 287-7174

The provider's authorized official is James Edmund Frank Giugliano .
The authorized official title is Director and has the following contact phone number (631) 283-5900.

The CLIA number assigned to this NPI record is 33D0889145 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.

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	261QP2300X	Clinic/Center	Primary Care	181535-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	93F612	MEDICARE PIN	NEW YORK

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

NPI Synchronization or Removal

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