Penfel Health Medical Pc in Staten Island - Family Medicine

Penfel Health Medical Pc - NPI 1891963476

Penfel Health Medical Pc is a Family Medicine in Staten Island, New York. Penfel Health Medical Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Penfel Health Medical Pc is 1891963476. The last update date is 2008-02-17.

Penfel Health Medical Pc's current location address is 97 Giffords Ln, Staten Island, New York. You can contact this provider via phone number 7189842484 and fax number 7186461894. The mailing address for Penfel Health Medical Pc is 97 Giffords Ln, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Penfel Health Medical Pc
Address 97 Giffords Ln, Staten Island, New York
Phone Number 7189842484
Fax Number 7186461894
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Poroger Emma
Credentials M.D D.O
Telephone Number 7189842484

NPI Number Detail

NPI Number 1891963476
Provider Enumeration Date 2008-02-15
Last Updated Date 2008-02-17

Provider Mailing Address Detail

Address 97 Giffords Ln
City Staten Island
State New York (NY)
Post Code 103082011
Phone Number 7189842484
Fax Number 7186461894

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 228891-1
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5921271 NY LISCENCE

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FAQs about Penfel Health Medical Pc

What is the Penfel Health Medical Pc's unique identification number?

The Penfel Health Medical Pc has been assigned the NPI (National Provider Identifier) Number 1891963476 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Penfel Health Medical Pc?

The Penfel Health Medical Pc is physically situated at 97 Giffords Ln, in the city of Staten Island, state of NY, with the postal code 103082011.

What is Penfel Health Medical Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Penfel Health Medical Pc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Penfel Health Medical Pc receive its 1891963476 assignment from the Centers for Medicare & Medicaid Services?

The Penfel Health Medical Pc was assigned its 1891963476 by the Centers for Medicare & Medicaid Services on 2008-02-15.

As of what date were the details related to Penfel Health Medical Pc most recently updated or revised?

The information pertaining to Penfel Health Medical Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-17.

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