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Organization
ADVANTAGECARE PHYSICIANS PC
Active
Organization
ADVANTAGECARE PHYSICIANS PC
Active
Parent organization
ADVANTAGECARE PHYSICIANS PC
Other names
AdvantageCare Physicians Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANTAGECARE PHYSICIANS PC
Authorized official
MS. NAVARRA RODRIGUEZ MD (PRESIDENT)
(646) 680-1525
Entity
Organization
Contact information
Practice address
1050 CLOVE RD, UCC, STATEN ISLAND, NY 10301-3627
(646) 680-1525
Mailing address
55 WATER STREET, 12 FL, NEW YORK, NY 10041
(646) 680-4227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/07/2016
Last updated
08/02/2017
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