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Organization
SG MEDICAL PROFESSIONALS NJ PC
Active
Organization
SG MEDICAL PROFESSIONALS NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL MCKENNA (DIRECTOR OF OPERATIONS)
(718) 362-1406
Entity
Organization
Contact information
Practice address
260 CHRISTOPHER LN STE 102A, STATEN ISLAND, NY 10314-1631
(718) 362-1406
(718) 362-1651
Mailing address
228 E ROUTE 59 # 400, NANUET, NY 10954-2905
(718) 362-1406
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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