Saverimuttu Medical Pc | |
2435 Victory Blvd Staten Island NY 10314-6633 | |
(646) 275-4334 | |
Not Available |
Full Name | Saverimuttu Medical Pc |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 2435 Victory Blvd, Staten Island, New York |
Authorized Official Name and Position | Jessie K Saverimuttu (MANAGING DIRECTOR) |
Authorized Official Contact | 6464170747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Saverimuttu Medical Pc 398 Gower St Staten Island Staten Island NY 10314-5333 Ph: (646) 275-4334 | Saverimuttu Medical Pc 2435 Victory Blvd Staten Island NY 10314-6633 Ph: (646) 275-4334 |
NPI Number | 1649520685 |
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Provider Enumeration Date | 09/18/2012 |
Last Update Date | 09/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649520685 | NPI | - | NPPES |
SEIU142177 | Other | SEIU | |
03179884 | Medicaid | NY | |
1750734 | Other | GHI | |
060QHI | Other | BLUE CROSS BLUESHIELD | |
9235428 | Other | ADENA | |
3125050 | Other | UNITED HEALTH CARE | |
5190872 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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