Organization
HOLY TRINITY MEDICAL, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGEH AYOOB GARAS M.D. (PRESIDENT)
(718) 447-1431
Entity
Organization
Contact information
Practice address
1376 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 447-1431
(718) 447-2754
Mailing address
1376 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 447-1431
(718) 447-2754
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
237281
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
237281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03025330
—
NY
Enumeration date
10/21/2008
Last updated
10/21/2008
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