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Organization
PROVIDENCE MEDICAL SERVICES PLLC
Active
Organization
PROVIDENCE MEDICAL SERVICES PLLC
Active
Other names
AFC Urgent Care Mount Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARINI SUN MD (MEDICAL DIRECTOR)
(860) 212-9306
Entity
Organization
Contact information
Practice address
203 GRAMATAN AVE, MOUNT VERNON, NY 10550-1291
(860) 212-9306
Mailing address
121 POVERTY HOLLOW RD, NEWTOWN, CT 06470-1800
(860) 212-9306
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
287577
NY
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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