Organization · Type 2 NPI
Ageless Men's Health Holdings, PC Ca
Primary Care Clinic/Center · Staten Island, NY
NPI number
1235581430
Active
Practice location
78 Todt Hill Rd Ste 205
Staten Island, NY 10314-4528
Fax (212) 837-1908
Mailing address
1847 Victory Blvd, Lower Level
Staten Island, NY 10314-3550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1235581430
Ageless Men's Health Holdings, PC Ca's National Provider Identifier is 1235581430, issued on Jul 12, 2016. 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 Nov 11, 2024.