=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194274290
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SINAI URGENT MEDICAL CARE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2016
-----------------------------------------------------
Last Update Date | 06/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 839 NEW YORK AVE
-----------------------------------------------------
City | HUNTINGTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11743-4412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-728-1604
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5240 NETHERLAND AVE
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10471-2810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-728-1604
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROBERT MEYER
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 646-772-7226
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------