State Of New York
Specialty details in registry · Staten Island, NY
At a glance
24 O Executive Way, Staten Island, NY 10314
NPPES record updated Jun 26, 2008. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
24 O Executive WayStaten Island, NY 10314
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 315P00000X
- Enumeration date
- Feb 7, 2007
- Record updated
- Jun 26, 2008
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
315P00000X · Primary
License reported: 00276639 NY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
24 O Executive WayStaten Island, NY 10314
- Phone
- (518) 402-4333
Mailing address
44 HOLLAND AVEALBANY, NY 122290001
Information may be outdated or incomplete.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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