STATEN ISLAND MEDICAL GROUP, PLLC

STATEN ISLAND, NY
NPI1326302803
Entity TypeOrganization
Authorized ContactROSEMARIE PHILLIP
Medical Director
201-857-4011
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: NY  4431)
Enumeration Date2012-06-28
Last Update Date2012-06-28
Business Address
STATEN ISLAND MEDICAL GROUP, PLLC
2071 CLOVE RD
STATEN ISLAND, NY 10304-1612
Phone number: 718-391-0303
Mailing Address
STATEN ISLAND MEDICAL GROUP, PLLC
PO BOX 581
SADDLE RIVER, NJ 07458-0581
Phone number: 201-857-4011