STATEN ISLAND MEDICAL PROFESSIONAL PC

STATEN ISLAND, NY
NPI1659676963
Entity TypeOrganization
Authorized ContactEDWIN BARRY GORDON
Owner
718-356-0207
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  097198)
Enumeration Date2011-01-18
Last Update Date2011-01-18
Business Address
STATEN ISLAND MEDICAL PROFESSIONAL PC
5405 HYLAN BLVD
STATEN ISLAND, NY 10312-5241
Phone number: 718-356-0207
Mailing Address
STATEN ISLAND MEDICAL PROFESSIONAL PC
5405 HYLAN BLVD
STATEN ISLAND, NY 10312-5241
Phone number: 718-356-0207
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