# PROVIDENCE MEDICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AFC Urgent Care Mount Vernon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417452467
- **Authorized official:** DR. DHARINI SUN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (860) 212-9306

## Contact information

- **Practice address:** 203 GRAMATAN AVE, MOUNT VERNON, NY 10550-1291
- **Practice address phone:** (860) 212-9306
- **Mailing address:** 121 POVERTY HOLLOW RD, NEWTOWN, CT 06470-1800
- **Mailing address phone:** (860) 212-9306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 287577 | NY | Yes |

## Other

- **Enumeration date:** 03/29/2018
- **Last updated:** 03/29/2018