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Organization

USCG SECTOR NEW YORK MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE GARCIA MADERA (HS3)
(718) 354-4208
Entity
Organization

Contact information

Practice address
215 DRUM RD RM D113, STATEN ISLAND, NY 10305-5001
(718) 354-4208
Mailing address
215 DRUM RD RM D113, STATEN ISLAND, NY 10305-5001

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
02/07/2007
Last updated
08/22/2020
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