Organization · Type 2 NPI

ST Vincents Medical Center Staten Island

Pulmonary Disease Physician · Staten Island, NY

NPI number 1124168117 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Dermatology Physician 207N00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Critical Care Medicine (Internal Medicine) Physician 207RC0200XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Geriatric Medicine (Internal Medicine) Physician 207RG0300XNone listed
Hematology & Oncology Physician 207RH0003XNone listed
Nephrology Physician 207RN0300XNone listed
Pulmonary Disease Physician Primary 207RP1001XNone listed
Hospitalist Physician 208M00000XNone listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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About NPI 1124168117

ST Vincents Medical Center Staten Island's National Provider Identifier is 1124168117, issued on Feb 7, 2007. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Staten Island, NY. The record was last updated on Sep 11, 2025.