| Richmond Pulmonary And Critical Care, Pc | |
|
355 Bard Ave Sicu Staten Island NY 10310-1664 | |
| (347) 575-9865 | |
| Not Available |
| Full Name | Richmond Pulmonary And Critical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 355 Bard Ave, Staten Island, New York |
| Authorized Official Name and Position | Keith Thomas Diaz (PHYSICIAN) |
| Authorized Official Contact | 3475759865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Pulmonary And Critical Care, Pc 474 Bedford Ave Staten Island NY 10306-5424 Ph: () - | Richmond Pulmonary And Critical Care, Pc 355 Bard Ave Sicu Staten Island NY 10310-1664 Ph: (347) 575-9865 |
| NPI Number | 1902235880 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 12/31/2014 |
| Medicare PECOS PAC ID | 4880917541 |
|---|---|
| Medicare Enrollment ID | O20150105000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902235880 | NPI | - | NPPES |
| Provider Name | Keith T Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073771556 PECOS PAC ID: 2860661121 Enrollment ID: I20110830000119 |
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