Organization
NORTHEAST URGENT CARE MEDICAL ASSOCIATE
Active
Other names
MD Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON B LUPOW M.D. (OWNER/MEDICAL DIRECTOR)
(914) 777-2273
Entity
Organization
Contact information
Practice address
388 TARRYTOWN RD, WHITE PLAINS, NY 10607-1465
(914) 777-2273
(877) 932-7426
Mailing address
388 TARRYTOWN RD, WHITE PLAINS, NY 10607-1465
(914) 777-2273
(877) 932-7426
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QU0200X
TAXON GROUP
NY
01
—
616782100
DOL
NY
01
—
6851910001
DMEPOS
NY
01
—
A100077982
GROUP PTAN
NY
Enumeration date
10/21/2014
Last updated
11/02/2017
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