# STATEN ISLAND UNIVERSITY HOSPITAL PHYSICIAN ASSISTANT SURGICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATEN ISLAND UNIVERSITY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346343738
- **Legal business name:** STATEN ISLAND UNIVERSITY HOSPITAL
- **Authorized official:** NICK GALVEZ (DIR. PATIENT ACCOUNTS)
- **Authorized official phone:** (718) 226-4502

## Contact information

- **Practice address:** 475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
- **Practice address phone:** (718) 226-4502
- **Practice address fax:** (718) 226-4875
- **Mailing address:** 475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
- **Mailing address phone:** (718) 226-4502
- **Mailing address fax:** (718) 226-4875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 05/29/2008