Provider Demographics
NPI:1790180875
Name:NIAGARA FALLS URGENT CENTER, INC
Entity Type:Organization
Organization Name:NIAGARA FALLS URGENT CENTER, INC
Other - Org Name:NIAGARA FALLS URGENT CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DEBJANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-376-1765
Mailing Address - Street 1:802 POND VIEW HTS
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-1200
Mailing Address - Country:US
Mailing Address - Phone:516-376-1765
Mailing Address - Fax:585-563-7054
Practice Address - Street 1:3117 MILITARY RD
Practice Address - Street 2:STE 2
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-4813
Practice Address - Country:US
Practice Address - Phone:516-661-5621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care