| Targee Street Internal Medicine Group | |
|
11 Ralph Pl Suite 317b Staten Island NY 10304-4401 | |
| (718) 447-4023 | |
| (718) 273-2025 |
| Full Name | Targee Street Internal Medicine Group |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 11 Ralph Pl, Staten Island, New York |
| Authorized Official Name and Position | Paulino V Albano (OWNER) |
| Authorized Official Contact | 7184474023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Targee Street Internal Medicine Group 11 Ralph Pl Suite 317b Staten Island NY 10304-4401 Ph: (718) 447-4023 | Targee Street Internal Medicine Group 11 Ralph Pl Suite 317b Staten Island NY 10304-4401 Ph: (718) 447-4023 |
| NPI Number | 1205127669 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205127669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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