| Richmond University Medical Center | |
|
355 Bard Ave Staten Island NY 10310-1664 | |
| (718) 818-4570 | |
| Not Available |
| Full Name | Richmond University Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 355 Bard Ave, Staten Island, New York |
| Authorized Official Name and Position | Rich Salhany (COO) |
| Authorized Official Contact | 7188182413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond University Medical Center Po Box 2003 East Syracuse NY 13057-4503 Ph: (315) 446-3904 | Richmond University Medical Center 355 Bard Ave Staten Island NY 10310-1664 Ph: (718) 818-4570 |
| NPI Number | 1811054042 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811054042 | NPI | - | NPPES |
| PENDING | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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