| Todt Hill Medical Group | |
|
78 Todt Hill Rd Suite 206 Staten Island NY 10314-4528 | |
| (718) 816-0034 | |
| (718) 727-3191 |
| Full Name | Todt Hill Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 78 Todt Hill Rd, Staten Island, New York |
| Authorized Official Name and Position | Vincent P. Tarantola (MANAGING PARTNER) |
| Authorized Official Contact | 7188160034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todt Hill Medical Group 78 Todt Hill Rd Suite 206 Staten Island NY 10314-4528 Ph: (718) 816-0034 | Todt Hill Medical Group 78 Todt Hill Rd Suite 206 Staten Island NY 10314-4528 Ph: (718) 816-0034 |
| NPI Number | 1770702532 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052202579 |
|---|---|
| Medicare Enrollment ID | O20120123000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770702532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 134045 (New York) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 134045 (New York) | Primary |
| Provider Name | Vincent P Tarantola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841248259 PECOS PAC ID: 0143374306 Enrollment ID: I20090821000651 |
| Provider Name | Phillip J Cosentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821039926 PECOS PAC ID: 6507912656 Enrollment ID: I20090915000576 |
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