CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1477197796

NPI Information

NPI: 1477197796
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2192815

Address:
1047 SOUTHERN BLVD
BRONX, NY
ZIP 10459
Phone: (646) 346-7920
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CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Bronx, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1477197796. The provider is registered as an organization entity type.

The provider's business location address is:

1047 SOUTHERN BLVD
BRONX, NY
ZIP 10459-427
Phone: (646) 346-7920
Fax: (646) 346-7921

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

The CLIA number assigned to this NPI record is 33D2192815 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2019 and was last updated on 10/30/2019.

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:

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: 11/14/2023

NPI Synchronization or Removal

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