Healthcare Provider Details

I. General information

NPI: 1619473907
Provider Name (Legal Business Name): WELLNOW URGENT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4189 VETERANS MEMORIAL DR
BATAVIA NY
14020-9999
US

IV. Provider business mailing address

PO BOX 500
ELLICOTTVILLE NY
14731-0500
US

V. Phone/Fax

Practice location:
  • Phone: 585-201-5598
  • Fax: 585-201-5599
Mailing address:
  • Phone: 716-720-6519
  • Fax: 716-699-9032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRACY M SCIOLINO
Title or Position: MANAGER PAYER RELATIONS
Credential:
Phone: 716-699-9032