| Sg Medical Professionals Nj Pc | |
|
260 Christopher Ln Ste 102a Staten Island NY 10314-1631 | |
| (718) 362-1406 | |
| (718) 362-1651 |
| Full Name | Sg Medical Professionals Nj Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 260 Christopher Ln Ste 102a, Staten Island, New York |
| Authorized Official Name and Position | Krystal Mckenna (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7183621406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Medical Professionals Nj Pc 228 E Route 59 # 400 Nanuet NY 10954-2905 Ph: (718) 362-1406 | Sg Medical Professionals Nj Pc 260 Christopher Ln Ste 102a Staten Island NY 10314-1631 Ph: (718) 362-1406 |
| NPI Number | 1558097899 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558097899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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