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1295927036
SOUTH BEACH PC
STATEN ISLAND, NY
NPI
1295927036
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Entity Type
Organization
Authorized Contact
ROBERT PUCCIO
Director, Finance
518-473-0795
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2007-08-15
Last Update Date
2014-08-28
Business Address
SOUTH BEACH PC
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2300
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Mailing Address
SOUTH BEACH PC
44 HOLLAND AVE
ALBANY, NY 12229-0001
Phone number:
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