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NPI Code Detail

MEDICARE: ISLAND INTERNIST PC

MEDICARE: ISLAND INTERNIST PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician179723NY
2208D00000XGeneral Practice Physician22415NY
3208D00000XGeneral Practice Physician171607NY
4208D00000XGeneral Practice Physician234484NY
5208D00000XGeneral Practice Physician234387NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11124001599OTHERNYNPI #
21336194281OTHERNYNPI #
31376580662OTHERNYNPI #
41861448896OTHERNYNPI#
51750476289OTHERNYNPI#

General Provider Information

NPI Number : 1073669479
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND INTERNIST PC
Provider Business Mailing Address
First Line : 420 LYNDALE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-6131
Country : US
Telephone Number : 718-967-1700
Fax Number : 718-967-7099
Provider Business Practice Location Address
First Line : 420 LYNDALE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-6131
Country : US
Telephone Number : 718-967-5630
Fax Number : 718-967-7099
Authorized Official
Title or Position : OWNER
Name : DR. DONNA SEMINARA
Credential : M.D.
Telephone Number : 718-967-1700
Provider Enumeration Date : 01/26/2007
Last Update Date : 05/27/2010

Similar Medicare Providers

1861448896 — LARISA MALISOVA DO
Practice Location Address:
420 LYNDALE AVE
STATEN ISLAND, NY
10312-6131
Practice Phone: 718-967-5630
Practice Fax:
1376580662 — DR. DONNA P SEMINARA MD
Practice Location Address:
420 LYNDALE AVE
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10312-6131
Practice Phone: 718-967-5630
Practice Fax: 718-967-7099
1639276447 — DAVID R. PFAFF M.D.
Practice Location Address:
420 LYNDALE AVE
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Practice Phone: 718-667-6776
Practice Fax: 718-667-5461
1891682407 — NSUH SOUTH BEACH PHYSICIANS UFP CORPORATION
Practice Location Address:
420 LYNDALE AVE
STATEN ISLAND, NY
10312-6131
Practice Phone: 718-967-5630
Practice Fax: 718-967-5638
1972931509 — RAQUEL FOX
Practice Location Address:
298 MONAHAN AVE
STATEN ISLAND, NY
10314-6131
Practice Phone: 718-494-6047
Practice Fax:
1568128916 — MARCUS DUSHAWN DUPREE SR.
Practice Location Address:
18 SATURN CT
SAINT HELENA ISLAND, SC
29920-6131
Practice Phone: 843-592-6585
Practice Fax:

Directions to “ISLAND INTERNIST PC ” Practice Location

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