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Organization
BROCKPORT MEDICAL CARE PLLC
Active
Organization
BROCKPORT MEDICAL CARE PLLC
Active
Other names
Brockport ASAP Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
HANY G NISSIEM MD (PRESIDENT)
(585) 637-7006
Entity
Organization
Contact information
Practice address
6565 4TH SECTION RD, SUITE 100, BROCKPORT, NY 14420-2414
(585) 637-7006
Mailing address
6565 4TH SECTION RD, SUITE 300, BROCKPORT, NY 14420-2414
(585) 395-0620
(585) 395-0622
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
227675
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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