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Organization
UNIVERSITY PHYSICIANS GROUP
Active
Organization
UNIVERSITY PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE STRANGE MD (OWNER)
(718) 226-1012
Entity
Organization
Contact information
Practice address
1 EDGEWATER ST STE 704, STATEN ISLAND, NY 10305-4900
(718) 226-1011
Mailing address
1 EDGEWATER ST STE 704, STATEN ISLAND, NY 10305-4900
(718) 226-1011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339345
NY
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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