Provider Demographics
NPI:1013252055
Name:HEWLETT URGENT CARE PLLC
Entity Type:Organization
Organization Name:HEWLETT URGENT CARE PLLC
Other - Org Name:URGENT-MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-858-4125
Mailing Address - Street 1:380 ROCKAWAY TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516
Mailing Address - Country:US
Mailing Address - Phone:516-858-4125
Mailing Address - Fax:516-887-3399
Practice Address - Street 1:380 ROCKAWAY TURNPIKE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516
Practice Address - Country:US
Practice Address - Phone:516-858-4125
Practice Address - Fax:516-469-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2023-07-27
Deactivation Date:2023-06-23
Deactivation Code:
Reactivation Date:2023-07-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care