# NORTH SHORE LIJ MEDICAL GROUP URGENT MEDICAL CARE, P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033536297
- **Authorized official:** MELISSA R WILLIS (VP REVENUE CYCLE)
- **Authorized official phone:** (678) 279-2917

## Contact information

- **Practice address:** 145 COMMUNITY DR, GREAT NECK, NY 11021-5502
- **Practice address phone:** (516) 253-2844
- **Mailing address:** 5555 GLENRIDGE CONNECTOR STE 700, ATLANTA, GA 30342-4758
- **Mailing address phone:** (678) 279-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2014
- **Last updated:** 12/09/2024