Provider Demographics
NPI:1720409808
Name:PROMPTCARE MEDICAL OF FARMINGDALE PLLC
Entity Type:Organization
Organization Name:PROMPTCARE MEDICAL OF FARMINGDALE PLLC
Other - Org Name:PROMPTCAREMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-987-6431
Mailing Address - Street 1:1037 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-4700
Mailing Address - Country:US
Mailing Address - Phone:516-987-6431
Mailing Address - Fax:
Practice Address - Street 1:1037 FULTON ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4700
Practice Address - Country:US
Practice Address - Phone:516-987-6431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care