Organization
UNIVERSITY PHYSICIANS GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE STRANGE MD (SECRETARY/TREASURER)
(718) 226-1000
Entity
Organization
Contact information
Practice address
65 ROSE AVE, STATEN ISLAND, NY 10306-2246
(718) 979-9333
(718) 980-0408
Mailing address
65 ROSE AVENUE, STATEN ISLAND, NY 10306-2246
(718) 979-9333
(718) 980-0408
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005325
NY
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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