Organization
UNIVERSITY PHYSICIANS GROUP P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT ESPOSITO (EXECUTIVE DIRECTOR)
(718) 226-1036
Entity
Organization
Contact information
Practice address
65 ROSE AVE, STATEN ISLAND, NY 10306-2246
(718) 226-1012
(718) 226-1040
Mailing address
1 EDGEWATER ST, SUITE 704, STATEN ISLAND, NY 10305-4900
(718) 226-1012
(718) 226-1040
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256440
—
NY
Enumeration date
05/25/2006
Last updated
09/17/2012
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