Organization
RICHMOND UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN D. GROSSMAN M.D (PROGRAM DIRECTOE/VICE-CHAIR)
(718) 818-2419
Entity
Organization
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-2419
Mailing address
1180 CLOVE RD, FL. 1, STATEN ISLAND, NY 10301-3649
(215) 254-9725
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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