| Lifes Bounty Medical Care P C | |
|
1776 Richmond Rd Staten Island NY 10306-2578 | |
| (718) 668-6963 | |
| Not Available |
| Full Name | Lifes Bounty Medical Care P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 1776 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | Anna Marie Scopellito-olsen (DOCTOR) |
| Authorized Official Contact | 17186686963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifes Bounty Medical Care P C 96 Midland Rd Staten Island NY 10308-2918 Ph: (718) 668-6963 | Lifes Bounty Medical Care P C 1776 Richmond Rd Staten Island NY 10306-2578 Ph: (718) 668-6963 |
| NPI Number | 1609930783 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609930783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 168980 (New York) | Primary |
| 208000000X | Pediatrics | 168980 (New York) | Secondary |
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