Organization
IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MANCUSI-UNGARO M.D. (SENIOR PARTNER)
(315) 488-6393
Entity
Organization
Contact information
Practice address
5700 W GENESEE ST, SUITE 100 SOUTH, CAMILLUS, NY 13031-3200
(315) 488-6393
(315) 488-5854
Mailing address
5700 W GENESEE ST, SUITE 100 SOUTH, CAMILLUS, NY 13031-3200
(315) 488-6393
(315) 488-5854
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930066333
MEDICARE RAILROAD
NY
01
—
930066334
MEDICARE RAILROAD
NY
Enumeration date
12/01/2005
Last updated
12/10/2008
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