Provider Demographics
NPI:1679084883
Name:URGENT CONSULT
Entity Type:Organization
Organization Name:URGENT CONSULT
Other - Org Name:REFERWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-381-0918
Mailing Address - Street 1:205 E 42ND ST FL 1001716
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5773
Mailing Address - Country:US
Mailing Address - Phone:917-903-5489
Mailing Address - Fax:212-656-1914
Practice Address - Street 1:432 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-6588
Practice Address - Country:US
Practice Address - Phone:718-879-7170
Practice Address - Fax:212-656-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-15
Last Update Date:2017-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management