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General NPI Number Information
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NPI Number | 1841742285
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Entity Type | Organization
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Legal Business Name | STATEN ISLAND UNIVERSTY HOSPITAL
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 392 SEGUINE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3906
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Country | US
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Telephone | 718-226-2327
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Fax |
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Provider Business Mailing Address
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Address Line | 65 JOHNSON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10307-1107
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Country | US
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Telephone | 917-692-6056
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE EXECUTIVE DIRECTOR
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Name | JOANNE PIETRO
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Credential | RN
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Telephone | 718-226-2820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 522350-1
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License Number State | NY
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