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NPI Code Detail

MEDICARE: STATEN ISLAND UNIVERSITY HOSPITAL

MEDICARE: STATEN ISLAND UNIVERSITY HOSPITAL
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
1283Q00000XPsychiatric Hospital19781NY

General Provider Information

NPI Number : 1881962298
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATEN ISLAND UNIVERSITY HOSPITAL
Provider Business Mailing Address
First Line : 392 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3906
Country : US
Telephone Number : 718-226-3817
Fax Number :
Provider Business Practice Location Address
First Line : 392 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3906
Country : US
Telephone Number : 718-226-3817
Fax Number :
Authorized Official
Title or Position : SUBSTANCES ABUSE COUNSELOR
Name : MIRIAM RAMOS
Credential :
Telephone Number : 718-226-3817
Provider Enumeration Date : 12/13/2011
Last Update Date : 12/13/2011

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Directions to “STATEN ISLAND UNIVERSITY HOSPITAL ” Practice Location

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