Organization · Type 2 NPI

University Physicians Group P C

General Practice Physician · Staten Island, NY

NPI number 1104872134 Active

Practice location

65 Rose Ave
Staten Island, NY 10306-2246

Call (718) 226-1012 Map

Fax (718) 226-1040

Mailing address

1 Edgewater St, Suite 704
Staten Island, NY 10305-4900

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Geriatric Medicine (Internal Medicine) Physician 207RG0300XNone listed
Rheumatology Physician 207RR0500XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Pediatric Nephrology Physician 2080P0210XNone listed
Pediatric Pulmonology Physician 2080P0214XNone listed
Nuclear Radiology Physician 2085N0904XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

8 other providers at this address

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About NPI 1104872134

University Physicians Group P C's National Provider Identifier is 1104872134, issued on May 25, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 17, 2012.