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General NPI Number Information
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NPI Number | 1679970891
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Entity Type | Organization
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Legal Business Name | NORTH SHORE LIJ, URGENT CARE, P.C.
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 243 MERRICK RD
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5211
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Country | US
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Telephone | 516-537-9063
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Fax | 516-726-1732
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Provider Business Mailing Address
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Address Line | 265 SUNRISE HWY STE 20
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4912
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Country | US
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Telephone | 516-321-4967
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Fax | 516-734-6729
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MELISSA WILLIS
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Credential |
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Telephone | 404-564-6551
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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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