Organization
STATEN ISLAND UNIVERSITY HOSPITAL - EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK GALVEZ (DIRECTOR OF PATIENT ACCOUNTS)
(718) 226-4502
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244202
—
NY
Enumeration date
10/08/2010
Last updated
11/01/2010
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