Organization
STATEN ISLAND UNIVERSITY HOSPITAL
Active
Parent organization
STATEN ISLAND UNIVERSITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATEN ISLAND UNIVERSITY HOSPITAL
Authorized official
MS. MICHELE CUSACK (SVP AND CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
7004003H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244202
—
NY
01
—
33050
BLUE CROSS REHAB
NJ
Enumeration date
07/10/2006
Last updated
07/31/2025
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