| Richmond University Medical Center | |
|
355 Bard Ave Staten Island NY 10310-1664 | |
| (718) 818-4408 | |
| (718) 818-2743 |
| Full Name | Richmond University Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 355 Bard Ave, Staten Island, New York |
| Authorized Official Name and Position | Robert Ren (VP FINANCE) |
| Authorized Official Contact | 7188181380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond University Medical Center 355 Bard Ave Staten Island NY 10310-1699 Ph: (718) 818-4408 | Richmond University Medical Center 355 Bard Ave Staten Island NY 10310-1664 Ph: (718) 818-4408 |
| NPI Number | 1184873135 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 8628074994 |
|---|---|
| Medicare Enrollment ID | O20130128000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184873135 | NPI | - | NPPES |
| 00248820 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7004010H (New York) | Primary |
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