# EASTSIDE MEDICAL URGENT CARE, LLC

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

## Provider details

- **NPI number:** 1528045135
- **Authorized official:** TAHMTAN HORMOZDYARAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (585) 388-5280

## Contact information

- **Practice address:** 2226 PENFIELD RD, PENFIELD, NY 14526-1922
- **Practice address phone:** (585) 388-5280
- **Practice address fax:** (585) 388-5282
- **Mailing address:** 2226 PENFIELD RD, PENFIELD, NY 14526-1922
- **Mailing address phone:** (585) 388-5280
- **Mailing address fax:** (585) 388-5282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 213296 | NY | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 08/17/2018