# STATEN ISLAND UNIVERSITY HOSPITAL - EARLY INTERVENTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649580689
- **Authorized official:** MR. NICK GALVEZ (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (718) 226-4502

## Contact information

- **Practice address:** 475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
- **Practice address phone:** (718) 226-4502
- **Practice address fax:** (718) 226-4875
- **Mailing address:** 475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
- **Mailing address phone:** (718) 226-4502
- **Mailing address fax:** (718) 226-4875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 11/01/2010