Organization
STATEN ISLAND UNIVERSITY HOSPITAL
Active
Other names
Staten Island University Hospital, University Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (EXECUTIVE VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
78 MEISNER AVE, STATEN ISLAND, NY 10306-1234
(718) 226-6456
(718) 226-6607
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9034
(718) 226-8966
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004032
BLUE CROSS
NY
05
—
01352230
—
NY
Enumeration date
08/08/2006
Last updated
02/10/2023
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