CITY MEDICAL OF UPPER EAST SIDE PLLC NPI 1609148733

NPI Information

NPI: 1609148733
Provider Name: CITY MEDICAL OF UPPER EAST SIDE, PLLC

Doing Business As: CITYMD URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2040110

Address:
418-420 5TH AVE
BROOKLYN, NY
ZIP 11215
Phone: (718) 965-2273
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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 1609148733. The provider is registered as an organization entity type.
The provider Is Doing Business As Citymd Urgent Care.

The provider's business location address is:

418-420 5TH AVE
BROOKLYN, NY
ZIP 11215-316
Phone: (718) 965-2273
Fax: (718) 965-2275

The provider's authorized official is David Kim .
The authorized official title is Managing Owner and has the following contact phone number (516) 783-4600.

The CLIA number assigned to this NPI record is 33D2040110 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 6/2/2016.

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

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