| NPI | 1083256804 |
|---|---|
| Former Legal Business Name | THELWELL IMMEDIATE CARE CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | ENOMA EVBUOMWAN Physician Assistant 646-402-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QV0200X Clinic/Center, VA | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |