Healthcare Provider Details

I. General information

NPI: 1992380547
Provider Name (Legal Business Name): WELLNOW URGENT CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 CANAL ST
SYRACUSE NY
13210-1203
US

IV. Provider business mailing address

PO BOX 500
ELLICOTTVILLE NY
14731-0500
US

V. Phone/Fax

Practice location:
  • Phone: 315-478-1977
  • Fax: 315-428-9223
Mailing address:
  • Phone: 716-699-9032
  • Fax: 716-699-9035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: TRACY MARIE SCIOLINO
Title or Position: MANAGER PAYER RELATIONS
Credential:
Phone: 716-699-9032