# CITY MEDICAL OF UPPER EAST SIDE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY MEDICAL OF UPPER EAST SIDE, PLLC
- **Other names:** CityMD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417517012
- **Legal business name:** CITY MEDICAL OF UPPER EAST SIDE, PLLC
- **Authorized official:** SWAHILI HENRY (DIRECTOR OF PAYMENT SOLUTIONS)
- **Authorized official phone:** (908) 988-0428

## Contact information

- **Practice address:** 1243 FULTON ST, BROOKLYN, NY 11216-2004
- **Practice address phone:** (646) 647-1257
- **Practice address fax:** (646) 647-1258
- **Mailing address:** 1345 AVENUE OF THE AMERICAS FL 8, NEW YORK, NY 10105-0018
- **Mailing address phone:** (908) 588-3635

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 03/05/2025