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Organization
PHYSICIANS OF UNIVERSITY HOSPITAL PC
Active
Organization
PHYSICIANS OF UNIVERSITY HOSPITAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S SHAPIRO (EXECUTIVE VP & CFO)
(516) 321-6025
Entity
Organization
Contact information
Practice address
1042 HUGUENOT AVE, STATEN ISLAND, NY 10312-4315
(718) 317-7556
Mailing address
1042 HUGUENOT AVE, STATEN ISLAND, NY 10312-4315
(718) 317-7556
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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