Organization · Type 2 NPI

Staten Island Medical Group, PLLC

Ambulatory Surgical Clinic/Center · Staten Island, NY

NPI number 1326302803 Active

Practice location

2071 Clove Rd
Staten Island, NY 10304-1612

Call (718) 391-0303 Map

Mailing address

PO Box 581
Saddle River, NJ 07458-0581

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X4431 (NY)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1326302803

Staten Island Medical Group, PLLC's National Provider Identifier is 1326302803, issued on Jun 28, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Staten Island, NY. The record was last updated on Jun 28, 2012.