CITY MEDICAL OF UPPER EAST SIDE, PLLC is an urgent care clinic center in Staten Island, NY. CITY MEDICAL OF UPPER EAST SIDE, PLLC NPI is 1588208805. The provider is registered as an organization entity type.
The provider's business location address is:
812 FOREST AVE
STATEN ISLAND, NY
ZIP 10310-446
Phone: (718) 571-9196
Fax: (718) 571-9216
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 33D2173965 - 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.