Healthcare Provider Details

I. General information

NPI: 1255897666
Provider Name (Legal Business Name): FLOWER CITY URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 BAY RD
WEBSTER NY
14580-1919
US

IV. Provider business mailing address

PO BOX 803
WEBSTER NY
14580-0803
US

V. Phone/Fax

Practice location:
  • Phone: 585-787-4073
  • Fax:
Mailing address:
  • Phone: 585-787-4073
  • Fax: 585-787-4183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. CHRYSA CHARNO
Title or Position: MANAGING EMPLOYEE
Credential: PA
Phone: 585-314-8921