is a Internal Medicine in Staten Island, New York. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1720190259. The last update date is .
's current location address is 1550 Richmond Ave, Staten Island, New York. You can contact this provider via phone number 7183707700 and fax number 7183707798. The mailing address for is 1550 Richmond Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1550 Richmond Ave, Staten Island, New York |
Phone Number | 7183707700 |
Fax Number | 7183707798 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1720190259 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1550 Richmond Ave |
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City | Staten Island |
State | New York (NY) |
Post Code | 103141578 |
Phone Number | 7183707700 |
Fax Number | 7183707798 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 170950 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1160883 | NY | -- | |
1720190259 | NY | NPI |
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