# STATEN ISLAND UNIVERSITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588823108
- **Legal business name:** NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
- **Authorized official:** MS. LYDIA MARTY-MEYERSON FNP (NURSE PRACTITIONER)
- **Authorized official phone:** (718) 226-9004

## Contact information

- **Practice address:** 475 SEAVIEW AVE, EMPLOYEE HEALTH SERVICE, STATEN ISLAND, NY 10305-3436
- **Practice address phone:** (718) 226-9004
- **Practice address fax:** (718) 226-8201
- **Mailing address:** 475 SEAVIEW AVE, EMPLOYEE HEALTH SERVICE, STATEN ISLAND, NY 10305-3436
- **Mailing address phone:** (718) 226-9004
- **Mailing address fax:** (718) 226-8201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | F335288-1 | NY | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008