Provider Demographics
NPI:1700276755
Name:ACCORD URGENT CARE PC
Entity Type:Organization
Organization Name:ACCORD URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VITALY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYKHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-375-2100
Mailing Address - Street 1:2632 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3916
Mailing Address - Country:US
Mailing Address - Phone:718-375-2100
Mailing Address - Fax:800-349-4298
Practice Address - Street 1:2632 E 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3916
Practice Address - Country:US
Practice Address - Phone:718-375-2100
Practice Address - Fax:800-349-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care