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NPI Code Detail

MEDICARE: CITY MEDICAL OF UPPER EAST SIDE, PLLC

MEDICARE: CITY MEDICAL OF UPPER EAST SIDE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1033512611
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY MEDICAL OF UPPER EAST SIDE, PLLC
Provider Business Mailing Address
First Line : 1345 AVENUE OF THE AMERICAS FL 8
Second Line :
City : NEW YORK
State : NY
Zip : 10105-0018
Country : US
Telephone Number : 908-588-3635
Fax Number :
Provider Business Practice Location Address
First Line : 2025 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10023-5016
Country : US
Telephone Number : 212-390-8812
Fax Number : 212-390-8814
Authorized Official
Title or Position : DIRECTOR OF PAYMENT SOLUTIONS
Name : SWAHILI HENRY
Credential :
Telephone Number : 908-988-0428
Provider Enumeration Date : 09/26/2014
Last Update Date : 03/03/2025

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Directions to “CITY MEDICAL OF UPPER EAST SIDE, PLLC ” Practice Location

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