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General NPI Number Information
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NPI Number | 1164079182
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Entity Type | Organization
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Legal Business Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 356 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-4820
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Country | US
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Telephone | 646-647-1267
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Fax | 646-647-1268
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Provider Business Mailing Address
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Address Line | 1345 AVENUE OF THE AMERICAS FL 8
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City | NEW YORK
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State | NY
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Zip | 10105-0018
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Country | US
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Telephone | 908-588-3635
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PAYMENT SOLUTIONS
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Name | SWAHILI HENRY
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Credential |
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Telephone | 908-988-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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