Organization
STATEN ISLAND MEDICAL INTENSIVIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MANIATIS MD (DIRECTOR)
(718) 226-8836
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-1673
(718) 226-8834
Mailing address
1 EDGEWATER ST, SUITE 723, STATEN ISLAND, NY 10305-4900
(718) 226-1013
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02394503
—
NY
Enumeration date
07/05/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us