CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1356998603

NPI Information

CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in New York, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1356998603. The provider is registered as an organization entity type.

The provider's business location address is:

24 BROAD STREET
NEW YORK, NY
ZIP 10005
Phone: (646) 647-1259
Fax: (646) 647-1260

The provider's authorized official is Marlena Simpson .
The authorized official title is Vp, Credentialing/enrollment and has the following contact phone number (516) 453-0435.

The CLIA number assigned to this NPI record is 33D2170899 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.

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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