STATEN ISLAND MEDICAL PRACTICE, P.C.

NPI # 

Practice Address:

5405 Hylan Blvd

Staten Island, NY, 10312-5241

Practice Phone:

718-948-5475

Practice Fax:

718-948-5479

License Number:

191751

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X