| Touch Stone Pavilion, Inc. | |
|
318 Seguine Avenue Staten Island NY 10309 | |
| (718) 356-9222 | |
| (718) 605-4729 |
| Full Name | Touch Stone Pavilion, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 318 Seguine Avenue, Staten Island, New York |
| Authorized Official Name and Position | Angelo A. Dimaggio (OPERATOR/PRESIDENT) |
| Authorized Official Contact | 7183569222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Touch Stone Pavilion, Inc. 318 Seguine Avenue Staten Island NY 10309 Ph: (718) 356-9222 | Touch Stone Pavilion, Inc. 318 Seguine Avenue Staten Island NY 10309 Ph: (718) 356-9222 |
| NPI Number | 1740971399 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 4183072093 |
|---|---|
| Medicare Enrollment ID | O20231201002254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740971399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Angelo A Dimaggio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558437970 PECOS PAC ID: 8022031731 Enrollment ID: I20060109000839 |
| Provider Name | Raheel Shafi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477759397 PECOS PAC ID: 3870646359 Enrollment ID: I20090924000435 |
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