CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1508400813

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 1508400813. The provider is registered as an organization entity type.

The provider's business location address is:

1143 LEXINGTON AVE
NEW YORK, NY
ZIP 10075-440
Phone: (646) 350-4815
Fax: (646) 863-6149

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 33D2173972 - 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:

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