| Primary Care Np In Family Health And Adult Health Of New York Pllc | |
|
130 Rose Ave Staten Island NY 10306-2241 | |
| (718) 980-1553 | |
| Not Available |
| Full Name | Primary Care Np In Family Health And Adult Health Of New York Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 130 Rose Ave, Staten Island, New York |
| Authorized Official Name and Position | Virginia Nelson (OWNER) |
| Authorized Official Contact | 7189801553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Np In Family Health And Adult Health Of New York Pllc 130 Rose Ave Staten Island NY 10306-2241 Ph: (718) 980-1553 | Primary Care Np In Family Health And Adult Health Of New York Pllc 130 Rose Ave Staten Island NY 10306-2241 Ph: (718) 980-1553 |
| NPI Number | 1194975524 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194975524 | NPI | - | NPPES |
| A100000571 | Other | NY | MEDICARE PTAN |
| 03129513 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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