Provider Demographics
NPI:1477929164
Name:CROWN HEIGHTS URGENT CARE
Entity Type:Organization
Organization Name:CROWN HEIGHTS URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR,OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNBLIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-480-6700
Mailing Address - Street 1:555 LEFFERTS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-4543
Mailing Address - Country:US
Mailing Address - Phone:718-575-0974
Mailing Address - Fax:
Practice Address - Street 1:555 LEFFERTS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-4543
Practice Address - Country:US
Practice Address - Phone:718-575-0974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care