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Organization

ISLAND INTERNIST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNA SEMINARA M.D. (OWNER)
(718) 967-1700
Entity
Organization

Contact information

Practice address
420 LYNDALE AVE, STATEN ISLAND, NY 10312-6131
(718) 967-5630
(718) 967-7099
Mailing address
420 LYNDALE AVE, STATEN ISLAND, NY 10312-6131
(718) 967-1700
(718) 967-7099

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
171607
NY
208D00000X
General Practice Physician
179723
NY
208D00000X
General Practice Physician
22415
NY
208D00000X
General Practice Physician
Primary
234387
NY
208D00000X
General Practice Physician
234484
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124001599
NPI #
NY
01
1336194281
NPI #
NY
01
1376580662
NPI #
NY
01
1750476289
NPI#
NY
01
1861448896
NPI#
NY
Enumeration date
01/26/2007
Last updated
05/27/2010
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