Organization · Type 2 NPI

SG Medical Professional PC

Family Medicine Physician · Staten Island, NY

NPI number 1457085615 Active

Practice location

260 Christopher Ln Ste 102A
Staten Island, NY 10314-1631

Call (718) 362-1405 Map

Fax (718) 414-1651

Mailing address

45 S Route 9W Unit 41 #114
West Haverstraw, NY 10993-1053

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

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About NPI 1457085615

SG Medical Professional PC's National Provider Identifier is 1457085615, issued on Jul 13, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Staten Island, NY. The record was last updated on May 30, 2025.