Healthcare Provider Details

I. General information

NPI: 1972944775
Provider Name (Legal Business Name): LAYLA TOV URGENT CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 60TH ST
BROOKLYN NY
11219-5021
US

IV. Provider business mailing address

1483 60TH ST
BROOKLYN NY
11219-5021
US

V. Phone/Fax

Practice location:
  • Phone: 904-482-1070
  • Fax: 904-482-1077
Mailing address:
  • Phone: 904-482-1070
  • Fax: 904-482-1077

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: YECHIEL ZAGELBAUM
Title or Position: OWNER
Credential: MD
Phone: 904-482-1070