# PREMIER CARE MEDICAL OF WEST ISLIP, PLLC

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

## Provider details

- **NPI number:** 1801238845
- **Authorized official:** DR. DAVID KIM MD (MANAGING OWNER)
- **Authorized official phone:** (516) 783-4600

## Contact information

- **Practice address:** 292 HERRICKS RD, MINEOLA, NY 11501-1119
- **Practice address phone:** (516) 292-8910
- **Practice address fax:** (516) 292-4009
- **Mailing address:** 2459 MERRICK RD, BELLMORE, NY 11710-5703
- **Mailing address phone:** (516) 783-4600
- **Mailing address fax:** (516) 783-4612

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2013
- **Last updated:** 07/18/2013