Staten Island Nephrology Pc

LBN: Staten Island Nephrology Pc
Staten Island Nephrology Pc is an health care organization with primary practice located at 1366 Victory Blvd , Staten Island NY 10301-3907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Staten Island Nephrology Pc can be contacted via phone (718) 727-3402, or through Petra, Eugene via phone (718) 273-3400.

Contact Information

Primary practice address
1366 Victory Blvd Staten Island NY 10301-3907
Phone: (718) 727-3402
Fax: (718) 727-3402
Website:
Map and Directions
Authorized official contact:
Name: Petra, Eugene Doctor of Medicine (MD)
Phone: (718) 273-3400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1982682001
LBN Legal business name Staten Island Nephrology Pc
DBA Doing business as
Authorized official Petra, Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 8th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982682001 NPPES
New York MEDICAID 02544181

Popular Providers