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Organization
STATEN ISLAND PHYSICIAN PRACTICE PC
Active
Organization
STATEN ISLAND PHYSICIAN PRACTICE PC
Active
Parent organization
STATEN ISLAND PHYSICIAN PRACTICE PC
Other names
Staten Island Physician Practice Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATEN ISLAND PHYSICIAN PRACTICE PC
Authorized official
MR. JOSEPH ZEITLIN MD (PRESIDENT)
(646) 680-1580
Entity
Organization
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
Mailing address
441 9TH AVE, 8TH FLOOR, NEW YORK, NY 10001-1623
(646) 680-1580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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