Organization
EXCEL URGENT CARE OF WANTAGH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R RUVO MD (SOLE PROPRIETOR)
(845) 565-3700
Entity
Organization
Contact information
Practice address
3430 SUNRISE HWY, WANTAGH, NY 11793-4028
(516) 900-1600
Mailing address
484 TEMPLE HILL RD, SUITE 104, NEW WINDSOR, NY 12553-5557
(845) 565-3700
(845) 565-3696
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03868191
—
NY
Enumeration date
04/11/2013
Last updated
08/25/2014
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