Staten Island Medical Group, Pllc

LBN: Staten Island Medical Group, Pllc
Staten Island Medical Group, Pllc is an health care organization with primary practice located at 2071 Clove Rd , Staten Island NY 10304-1612. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Staten Island Medical Group, Pllc can be contacted via phone (718) 391-0303, or through Phillip, Rosemarie via phone (201) 857-4011.

Contact Information

Primary practice address
2071 Clove Rd Staten Island NY 10304-1612
Phone: (718) 391-0303
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phillip, Rosemarie Doctor of Medicine (MD)
Phone: (201) 857-4011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 4431 New York

Profile Details

NPI number 1326302803
LBN Legal business name Staten Island Medical Group, Pllc
DBA Doing business as
Authorized official Phillip, Rosemarie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2012
Last updated Jun 28th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326302803 NPPES
New York Other 4431 AAAASF

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