Healthcare Provider Details

I. General information

NPI: 1306137070
Provider Name (Legal Business Name): WALK IN MEDICAL URGENT CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2011
Last Update Date: 06/14/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 S MAIN ST CLARKS TOWN PLAZA
NEW CITY NY
10956-3318
US

IV. Provider business mailing address

236 S MAIN ST
NEW CITY NY
10956-3318
US

V. Phone/Fax

Practice location:
  • Phone: 845-703-2273
  • Fax: 845-703-2276
Mailing address:
  • Phone: 845-703-2273
  • Fax: 845-703-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number206741
License Number StateNY

VIII. Authorized Official

Name: DR. JASMINDER LUTHRA
Title or Position: OWNER
Credential: M.D.
Phone: 845-703-2273