Organization
EXCEL URGENT CARE OF EAST NORTHPORT, 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
558 LARKFIELD RD, EAST NORTHPORT, NY 11731-4204
(631) 486-7459
Mailing address
484 TEMPLE HILL RD STE 104, NEW WINDSOR, NY 12553-5529
(845) 565-3700
(845) 565-3696
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03845907
—
NY
01
—
DU2258
RAILROAD MEDICARE
—
Enumeration date
10/06/2011
Last updated
10/26/2017
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