# USCG SECTOR NEW YORK

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

## Provider details

- **NPI number:** 1770553752
- **Authorized official:** TIMOTHY L. ARMENTROUT (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (718) 354-4341

## Contact information

- **Practice address:** 215 DRUM ROAD, ROOM D-113, STATEN ISLAND, NY 10305
- **Practice address phone:** (718) 354-4414
- **Practice address fax:** (718) 354-4415
- **Mailing address:** 215 DRUM ROAD, ROOM D-113, STATEN ISLAND, NY 10305
- **Mailing address phone:** (718) 354-4414
- **Mailing address fax:** (718) 354-4415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | 0101050128 | VA | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 09/24/2010