CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1467071654

NPI Information

NPI: 1467071654
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2183842

Address:
21 GRAHAM AVE
BROOKLYN, NY
ZIP 11206
Phone: (718) 571-9280
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CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Brooklyn, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1467071654. The provider is registered as an organization entity type.

The provider's business location address is:

21 GRAHAM AVE
BROOKLYN, NY
ZIP 11206-007
Phone: (718) 571-9280
Fax: (718) 571-9281

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 33D2183842 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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