Organization
USCG SECTOR NY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA DEMERS (HEALTH SERVICES TECH. 2ND CLASS)
(718) 354-4414
Entity
Organization
Contact information
Practice address
215 DRUM RD, RM D-113, STATEN ISLAND, NY 10305-5001
(718) 354-4414
(718) 354-4415
Mailing address
438 USS IOWA CIR APT 5, STATEN ISLAND, NY 10305-5059
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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