Organization · Type 2 NPI

Staten Island Medical Practice, P.c.

Primary Care Clinic/Center · Staten Island, NY

NPI number 1104142082 Active

Practice location

5405 Hylan Blvd
Staten Island, NY 10312-5241

Call (718) 948-5475 Map

Fax (718) 948-5479

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X191751 (NY)

Primary Care Clinic/Center: Definition to come...

8 other providers at this address

Other primary care clinic/center providers in Staten Island

See all in Staten Island →

About NPI 1104142082

Staten Island Medical Practice, P.c.'s National Provider Identifier is 1104142082, issued on Apr 16, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Staten Island, NY. The record was last updated on Apr 16, 2010.