| Penfel Health Medical Pc | |
|
59 Lindenwood Rd Staten Island NY 10308-2737 | |
| (718) 984-2484 | |
| (718) 646-1894 |
| Full Name | Penfel Health Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 59 Lindenwood Rd, Staten Island, New York |
| Authorized Official Name and Position | Emma Poroger (MEDICAL DIRTECTOR) |
| Authorized Official Contact | 7189842484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penfel Health Medical Pc 97 Giffords Ln Staten Island NY 10308-2011 Ph: (718) 984-2484 | Penfel Health Medical Pc 59 Lindenwood Rd Staten Island NY 10308-2737 Ph: (718) 984-2484 |
| NPI Number | 1891963476 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891963476 | NPI | - | NPPES |
| 5921271 | Other | NY | LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 228891-1 (New York) | Primary |
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