# 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:** Summit Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982489761
- **Legal business name:** CITY MEDICAL OF UPPER EAST SIDE, PLLC
- **Authorized official:** SWAHILI HENRY (DIRECTOR OF PAYMENT SOLUTIONS)
- **Authorized official phone:** (908) 988-0482

## Contact information

- **Practice address:** 310 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5339
- **Practice address phone:** (516) 454-1461
- **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 |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 09/11/2024