| Organization Name: | IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC |
| NPI Number: | 1083698377 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN MANCUSI-UNGARO (SENIOR PARTNER) |
| Mailing Address: | 5700 W Genesee St Suite 100 South Camillus |
| State: | NY US |
| Postal Code: | 130313200 |
| Phone Number: | 3154886393 |
| Fax Number: | 3154885854 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 12/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |