| NPI | 1508400813 |
|---|---|
| Doing Business As | CITYMD |
| Entity Type | Organization |
| Authorized Contact | MARLENA SIMPSON VP, Credentialing & Enrollment 516-453-0435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |