Kenmore Urgent Care Pllc

LBN: Kenmore Urgent Care Pllc
Kenmore Urgent Care Pllc is an health care organization with primary practice located at 2949 Elmwood Ave Suite 104, Kenmore NY 14217-1356. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Kenmore Urgent Care Pllc can be contacted via phone (716) 876-7606, or through Elibol, Tarik via phone (716) 876-7606.

Contact Information

Primary practice address
2949 Elmwood Ave Suite 104 Kenmore NY 14217-1356
Phone: (716) 876-7606
Fax: (716) 876-7608
Website:
Map and Directions
Authorized official contact:
Name: Elibol, Tarik Doctor of Medicine (MD)
Phone: (716) 876-7606

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 102346 New York

Profile Details

NPI number 1033545454
LBN Legal business name Kenmore Urgent Care Pllc
DBA Doing business as
Authorized official Elibol, Tarik Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2013
Last updated Sep 18th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033545454 NPPES
New York MEDICAID 00647865

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