STATEN ISLAND PHYSICIAN PRACTICE PC

NEW YORK, NY
NPI1568413169
Doing Business AsADVANTAGECARE PHYSICIANS
Entity TypeOrganization
Authorized ContactMARLENA SIMPSON
A VP Credentialing
646-680-2894
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207N00000X Dermatology
207P00000X Emergency Medicine
207Q00000X Family Medicine
207RG0300X Internal Medicine, Geriatric Medicine
207RH0003X Internal Medicine, Hematology & Oncology
207W00000X Ophthalmology
208000000X Pediatrics
2085R0202X Radiology, Diagnostic Radiology
208600000X Surgery
208800000X Urology
207ND0101X Dermatology, MOHS-Micrographic Surgery
207NS0135X Dermatology, Procedural Dermatology
207NP0225X Dermatology, Pediatric Dermatology
207ND0900X Dermatology, Dermatopathology
Enumeration Date2006-05-16
Last Update Date2015-12-01
Business Address
STATEN ISLAND PHYSICIAN PRACTICE PC
441 9TH AVE 9TH FLOOR
NEW YORK, NY 10001-1623
Phone number: 646-680-2894
Mailing Address
STATEN ISLAND PHYSICIAN PRACTICE PC
441 9TH AVE 9TH FLOOR
NEW YORK, NY 10001-1623
Phone number: 646-680-2894