Basic Information
| Provider Information | |||||||||
| NPI: | 1265720064 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EMURGENT CARE MEDICINE PLLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | EMURGENT CARE, PLLC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11835 RT 9W | ||||||||
| Address2: | |||||||||
| City: | WEST COXSACKIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 121923605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5187319000 | ||||||||
| FaxNumber: | 5187319119 | ||||||||
| Practice Location | |||||||||
| Address1: | 2976 RT 9W | ||||||||
| Address2: | |||||||||
| City: | SAUGERTIES | ||||||||
| State: | NY | ||||||||
| PostalCode: | 124775234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452479100 | ||||||||
| FaxNumber: | 5187319119 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2011 | ||||||||
| LastUpdateDate: | 07/15/2011 | ||||||||
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| AuthorizedOfficialLastName: | HASSETT | ||||||||
| AuthorizedOfficialFirstName: | PAMELA | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF OPERATING OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 5187319000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | EMURGENT CARE MEDICINE PLLC | ||||||||
| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 224556 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.