# ADVANTAGECARE PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANTAGECARE PHYSICIANS PC
- **Other names:** AdvantageCare Physicians Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063954113
- **Legal business name:** ADVANTAGECARE PHYSICIANS PC
- **Authorized official:** MS. NAVARRA RODRIGUEZ MD (PRESIDENT)
- **Authorized official phone:** (646) 680-1525

## Contact information

- **Practice address:** 1050 CLOVE RD, UCC, STATEN ISLAND, NY 10301-3627
- **Practice address phone:** (646) 680-1525
- **Mailing address:** 55 WATER STREET, 12 FL, NEW YORK, NY 10041
- **Mailing address phone:** (646) 680-4227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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