City Medical Of Upper East Side, PLLC
Clinic/Center, Urgent Care in Bay Shore, NY. Organization (NPI-2).
NPI number1992580070
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1992580070
- Entity type
- Organization (NPI-2)
- Legal business name
- City Medical Of Upper East Side, PLLC
- Organization subpart
- Yes
- Enumeration date
- Aug 28, 2023
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Summit Health (Doing Business As)
Practice location
375 E Main St Ste 1Bay Shore, NY 11706-8418
Phone 631-665-8790
Mailing address
1345 Avenue Of The Americas Fl 8New York, NY 10105-0018
Phone 908-588-3635
Authorized official
Swahili Henry
Director Of Payment Solutions
9089880482
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