# USCG SECTOR NEW YORK MEDICAL

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

## Provider details

- **NPI number:** 1285774752
- **Authorized official:** JOSE GARCIA MADERA (HS3)
- **Authorized official phone:** (718) 354-4208

## Contact information

- **Practice address:** 215 DRUM RD RM D113, STATEN ISLAND, NY 10305-5001
- **Practice address phone:** (718) 354-4208
- **Mailing address:** 215 DRUM RD RM D113, STATEN ISLAND, NY 10305-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020