Providence Medical Services Pllc
NPI #1417452467 in Mount Vernon, New York
Provider Information
- NPI Number
- 1417452467
- Entity Type
- Organization
- Organization Name
- Providence Medical Services Pllc
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Mar 29, 2018
- Last Updated
- Mar 29, 2018
Practice Location
- Address
- 203 GRAMATAN AVE
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10550-1291
- Phone
- (860) 212-9306
Authorized Official
- Name
- DR. DHARINI SUN, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (860) 212-9306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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