Organization
EASTSIDE MEDICAL URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHMTAN HORMOZDYARAN M.D. (MEDICAL DIRECTOR)
(585) 388-5280
Entity
Organization
Contact information
Practice address
2226 PENFIELD RD, PENFIELD, NY 14526-1922
(585) 388-5280
(585) 388-5282
Mailing address
2226 PENFIELD RD, PENFIELD, NY 14526-1922
(585) 388-5280
(585) 388-5282
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
213296
NY
Other
Enumeration date
12/23/2005
Last updated
08/17/2018
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