# TARGEE STREET INTERNAL MEDICINE GROUP

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

## Provider details

- **NPI number:** 1205127669
- **Authorized official:** PAULINO V ALBANO MD (OWNER)
- **Authorized official phone:** (718) 447-4023

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011