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Organization
STATEN ISLAND SURGICAL ASSOCIATES, PC
Active
Organization
STATEN ISLAND SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDUNCHEZIAN SITHIAN MD (PRESIDENT)
(718) 448-5400
Entity
Organization
Contact information
Practice address
1130 VICTORY BLVD, STATEN ISLAND, NY 10301-3623
(718) 448-5400
Mailing address
1130 VICTORY BLVD, STATEN ISLAND, NY 10301-3623
(718) 448-5400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
125292
NY
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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