MEDICARE: URGENT HEALTH CARE PC

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
1	261QU0200X	Urgent Care Clinic/Center	202905	NY

General Provider Information

NPI Number	:	1417300922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT HEALTH CARE PC

Provider Business Mailing Address
First Line	:	1011 49TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5612
Country	:	US
Telephone Number	:	718-268-6808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 49TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5612
Country	:	US
Telephone Number	:	718-268-6808
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. WAIHO LUM
Credential	:	MD
Telephone Number	:	718-268-6808

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	07/20/2016

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