Healthcare Provider Details

I. General information

NPI: 1487153870
Provider Name (Legal Business Name): WELLNOW URGENT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 COURTNEY DRIVE
FAIRPORT NY
14450-3338
US

IV. Provider business mailing address

PO BOX 500
ELLICOTTVILLE NY
14731-0500
US

V. Phone/Fax

Practice location:
  • Phone: 585-421-7537
  • Fax: 585-421-7538
Mailing address:
  • Phone: 716-720-6519
  • Fax: 716-699-9035

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: KIM M CARDINALE
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 716-699-9032