| Organization Name: | HEWLETT URGENT CARE PLLC |
| NPI Number: | 1013252055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT VAN AMERONGEN (OWNER/MEDICAL DIRECTOR) |
| Mailing Address: | 1220 Peninsula Blvd Hewlett |
| State: | NY US |
| Postal Code: | 115571224 |
| Phone Number: | 5168584410 |
| Fax Number: | 5168873399 |
| NPI Enumeration Date: | 12/03/2012 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |