Healthcare Provider Details

I. General information

NPI: 1013429752
Provider Name (Legal Business Name): WELLNOW URGENT CARE PRACTICE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2017
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3648 DEWEY AVENUE
ROCHESTER NY
14616-3504
US

IV. Provider business mailing address

PO BOX 500
ELLICOTTVILLE NY
14731-0500
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-3503
  • Fax: 585-786-3504
Mailing address:
  • Phone: 716-699-9032
  • 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: JOHN C RADFORD
Title or Position: PRESIDENT
Credential: MD
Phone: 716-380-8681