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Organization
STATEN ISLAND UNIVERSITY HOSPITAL
Active
Organization
STATEN ISLAND UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE L CUSACK (SENIOR VICE PRESIDENT AND CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7004003H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081
BLUE CROSS
—
01
—
000201/00201
BLUE CROSS BURN
—
01
—
000412345697
HEALTHPLUS
—
01
—
000501301
AMERICHOICE
—
01
—
001342
HORIZON
—
05
—
00244202
—
NY
01
—
00881
FIDELIS
—
01
—
0091401
GHI/OMH SUBSTANCE ABUSE
—
01
—
13297
AETNA/USHEALTHCARE
—
01
—
16297
GHI
—
01
—
2946
HEALTHFIRST
—
01
—
5000069
UNITED HEALTH
—
01
—
962
ANTHEM
—
01
—
A36976
OXFORD RADIOLOGY
—
01
—
ANC1049
OXFORD
—
01
—
H03123
OXFORD
—
01
—
IC0093/IC0094
PHS
—
01
—
NPC91662
ELDERPLAN
—
Enumeration date
07/21/2006
Last updated
07/31/2025
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