Organization
PROVIDENCE MEDICAL SERVICES PLLC
Active
Other names
AFC Urgent Care Mount Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARINI SUN MD (MEDICAL DIRECTOR)
(860) 212-9306
Entity
Organization
Contact information
Practice address
203 GRAMATAN AVE, MOUNT VERNON, NY 10550-1291
(860) 212-9306
Mailing address
121 POVERTY HOLLOW RD, NEWTOWN, CT 06470-1800
(860) 212-9306
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
287577
NY
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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