Organization · Type 2 NPI
Medical Office PC
Primary Care Clinic/Center · Staten Island, NY
NPI number
1225002785
Active
Practice location
120 Old Farmers Ln
Staten Island, NY 10304-1404
Fax (718) 462-8000
Mailing address
62 New St
Lynbrook, NY 11563-3309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 184579 (NY) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1225002785
Medical Office PC's National Provider Identifier is 1225002785, issued on Feb 13, 2006. 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 Feb 14, 2022.