Organization
EXCEL URGENT CARE OF NESCONSET, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R RUVO MD (AUTHORIZED MEMBER)
(845) 565-3700
Entity
Organization
Contact information
Practice address
465 SMITHTOWN BLVD, NESCONSET, NY 11767-2421
(613) 676-6700
Mailing address
484 TEMPLE HILL RD, SUITE 104, NEW WINDSOR, NY 12553-5557
(845) 565-3700
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03845136
—
NY
01
—
934719P
HIP
—
01
—
PAC835C
GHI
NY
Enumeration date
08/02/2011
Last updated
01/26/2023
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