| Staten Island Hospitalists, Pc | |
|
475 Seaview Ave Staten Island NY 10305-3436 | |
| (718) 226-6902 | |
| (718) 226-6844 |
| Full Name | Staten Island Hospitalists, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 475 Seaview Ave, Staten Island, New York |
| Authorized Official Name and Position | Mark Jarrett (PRESIDENT) |
| Authorized Official Contact | 7182269000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staten Island Hospitalists, Pc 1 Edgewater St 6th Fl. Payer Relations Staten Island NY 10305-4900 Ph: (718) 226-1008 | Staten Island Hospitalists, Pc 475 Seaview Ave Staten Island NY 10305-3436 Ph: (718) 226-6902 |
| NPI Number | 1306836978 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306836978 | NPI | - | NPPES |
| 02597900 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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