MEDICARE: EMURGENCY URGENT 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

General Provider Information

NPI Number	:	1881315778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMURGENCY URGENT CARE PC

Provider Business Mailing Address
First Line	:	7202 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-1906
Country	:	US
Telephone Number	:	732-886-5791
Fax Number	:

Provider Business Practice Location Address
First Line	:	7202 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-1906
Country	:	US
Telephone Number	:	732-886-5791
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HILLEL PELTZ
Credential	:	DO
Telephone Number	:	732-886-5791

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	09/14/2022

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