# MOHAWK GLEN URGENT CARE, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1144355132
- **Authorized official:** DARIO OTERO (BUSINESS MANAGER)
- **Authorized official phone:** (315) 337-2156

## Contact information

- **Practice address:** 91 PERIMETER RD, SUITE 100, ROME, NY 13441-4018
- **Practice address phone:** (315) 337-2156
- **Practice address fax:** (315) 337-2497
- **Mailing address:** 91 PERIMETER RD, SUITE 100, ROME, NY 13441-4018
- **Mailing address phone:** (315) 337-2156
- **Mailing address fax:** (315) 337-2497

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020