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NPI Code Detail

MEDICARE: URBAN NEW YORK MEDICAL PC

MEDICARE: URBAN NEW YORK MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A400065666OTHERNYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700222353
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN NEW YORK MEDICAL PC
Provider Business Mailing Address
First Line : PO BOX 720507
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-0507
Country : US
Telephone Number : 718-360-0907
Fax Number :
Provider Business Practice Location Address
First Line : 2818 STEINWAY ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3349
Country : US
Telephone Number : 718-360-0907
Fax Number : 313-281-8290
Authorized Official
Title or Position : ADMINISTRATION
Name : MS. SHIRLEY A. ROBINSON
Credential : ADMINISTRATOR
Telephone Number : 718-360-0907
Provider Enumeration Date : 05/21/2013
Last Update Date : 08/09/2013

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Directions to “URBAN NEW YORK MEDICAL PC ” Practice Location

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