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General NPI Number Information
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NPI Number | 1861792673
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Entity Type | Organization
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Legal Business Name | STATEN ISLAND UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone | 781-226-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. INGY HANNA
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Credential | M.D.
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Telephone | 781-249-6270
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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 | 244202
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License Number State | NY
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