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General NPI Number Information
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NPI Number | 1972797082
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Entity Type | Organization
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Legal Business Name | NEW YORK URGENT CARE PC
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 55 E OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4293
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Country | US
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Telephone | 516-605-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 55 E OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4293
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Country | US
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Telephone | 516-605-0120
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAGDEEP J VYAS
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Credential |
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Telephone | 718-461-2712
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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 | 227485
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License Number State | NY
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