Organization
NEW YORK URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDEEP J VYAS (CEO)
(718) 461-2712
Entity
Organization
Contact information
Practice address
55 E OLD COUNTRY RD, HICKSVILLE, NY 11801-4293
(516) 605-0120
Mailing address
55 E OLD COUNTRY RD, HICKSVILLE, NY 11801-4293
(516) 605-0120
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
227485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400001701
MDCR INDIV PTAN
NY
Enumeration date
08/31/2007
Last updated
03/21/2016
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