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Organization

TARGEE STREET INTERNAL MEDICINE GROUP

Active
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Organization

TARGEE STREET INTERNAL MEDICINE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULINO V ALBANO MD (OWNER)
(718) 447-4023
Entity
Organization

Contact information

Practice address
11 RALPH PL, SUITE 317B, STATEN ISLAND, NY 10304-4401
(718) 447-4023
(718) 273-2025
Mailing address
11 RALPH PL, SUITE 317B, STATEN ISLAND, NY 10304-4401
(718) 447-4023
(718) 273-2025

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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