Organization
BOARD CERTIFIED INTERNISTS OF STATEN ISLAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL GREGORY SCEUSA M.D. (PHYSICIAN)
(718) 370-7700
Entity
Organization
Contact information
Practice address
1550 RICHMOND AVE, SUITE 202, STATEN ISLAND, NY 10314-1510
(718) 370-7700
(718) 370-7798
Mailing address
1550 RICHMOND AVE, SUITE 202, STATEN ISLAND, NY 10314-1510
(718) 370-7700
(718) 370-7798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170950
NY
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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