Organization
ATLANTIC URGENT CARE, PC
Active
Parent organization
INTERFAITH MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERFAITH MEDICAL CENTER
Authorized official
DR. ROLAND ROYSTON PURCELL M.D. (PRESIDENT)
(718) 613-4707
Entity
Organization
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4988
Mailing address
1545 ATLANTIC AVE, SUITE W112, BROOKLYN, NY 11213-1122
(718) 613-4707
(718) 613-4101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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