PROVIDENCE MEDICAL SERVICES PLLC NPI 1417452467

NPI Information

  • NPI: 1417452467
  • Provider Name: PROVIDENCE MEDICAL SERVICES PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: AFC URGENT CARE MOUNT VERNON
  • Address: 203 GRAMATAN AVE
    MOUNT VERNON, NY
    ZIP 10550
  • Phone: (860) 212-9306

Map and Directions

Get Directions

NPI Details

PROVIDENCE MEDICAL SERVICES PLLC is an urgent care clinic center in Mount Vernon, NY. PROVIDENCE MEDICAL SERVICES PLLC NPI is 1417452467. The provider is registered as an organization entity type.
The provider Is Doing Business As Afc Urgent Care Mount Vernon.

The provider's business location address is:

203 GRAMATAN AVE
MOUNT VERNON, NY
ZIP 10550-291
Phone: (860) 212-9306

The provider's authorized official is Dharini Sun .
The authorized official title is Medical Director and has the following contact phone number (860) 212-9306.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/29/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent Care287577NEW 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.