Healthcare Provider Details

I. General information

NPI: 1497147748
Provider Name (Legal Business Name): METRO URGENT MEDICAL CARE OF BROOKLYN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2015
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 THROOP AVE UNIT B
BROOKLYN NY
11216-2522
US

IV. Provider business mailing address

484 TEMPLE HILL RD SUITE 104
NEW WINDSOR NY
12553
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-3700
  • Fax: 845-565-3696
Mailing address:
  • Phone: 845-565-3700
  • Fax: 845-565-3696

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: ANTHONY R RUVO
Title or Position: AUTHORIZED MEMBER
Credential: MD
Phone: 845-565-3700