Lake Ontario Prompt Medical Care, PLLC
Clinic/Center, Urgent Care in Oswego, NY. Organization (NPI-2).
NPI number1407285232
StatusActive
Last updated in NPPESApr 20, 2023
Details
- NPI
- 1407285232
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Ontario Prompt Medical Care, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2013
- Certification date
- Apr 20, 2023
- Last updated
- Apr 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | 164385 | NY | Yes |
Practice location
300 State Route 104Suite 2
Oswego, NY 13126-2956
Phone 315-216-4036 · Fax 315-216-4560
Mailing address
300 State Route 104Suite 2
Oswego, NY 13126-2956
Phone 315-342-0030 · Fax 315-216-6669
Authorized official
Sunil Ram
Ceo
3152166687
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