# USCG SECTOR NY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033204391
- **Authorized official:** SARA DEMERS (HEALTH SERVICES TECH. 2ND CLASS)
- **Authorized official phone:** (718) 354-4414

## Contact information

- **Practice address:** 215 DRUM RD, RM D-113, STATEN ISLAND, NY 10305-5001
- **Practice address phone:** (718) 354-4414
- **Practice address fax:** (718) 354-4415
- **Mailing address:** 438 USS IOWA CIR APT 5, STATEN ISLAND, NY 10305-5059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020