Staten Island Medical Intensivist Pc
Specialty details in registry · Staten Island, NY
At a glance
475 Seaview Ave, Staten Island, NY 10305-3436
NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.
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Practice location
475 Seaview AveStaten Island, NY 10305-3436
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207RP1001X
- Enumeration date
- Jul 5, 2006
- Record updated
- Sep 11, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Internal Medicine
207R00000X
Specialty details in registry
207RC0200X
Specialty details in registry
207RP1001X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
475 Seaview AveStaten Island, NY 10305-3436
- Phone
- (718) 226-1673
- Fax
- (718) 226-8834
Mailing address
1 EDGEWATER STSUITE 723
STATEN ISLAND, NY 103054900
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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