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Organization

RICHMOND UNIVERSITY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN GROSSMAN MD (IM RESIDENCY PROGRAM DIRECTOR)
(718) 818-2419
Entity
Organization

Contact information

Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-2419
Mailing address
82 ADMIRALTY LOOP, STATEN ISLAND, NY 10309-3961

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
07/06/2010
Last updated
07/06/2010
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