| Staten Island Internal Medicine Assoc Pc | |
|
1478 Victory Blvd Staten Island NY 10301 | |
| (718) 448-4448 | |
| (718) 442-5691 |
| Full Name | Staten Island Internal Medicine Assoc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1478 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Patricia A Weinert (OFFICE MANAGER) |
| Authorized Official Contact | 7184484448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staten Island Internal Medicine Assoc Pc 1478 Victory Blvd Staten Island NY 10301 Ph: (718) 448-4448 | Staten Island Internal Medicine Assoc Pc 1478 Victory Blvd Staten Island NY 10301 Ph: (718) 448-4448 |
| NPI Number | 1477694800 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477694800 | NPI | - | NPPES |
| OP120 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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