MEDICAL OFFICE PC

NPI # 

Practice Address:

120 Old Farmers Ln

Staten Island, NY, 10304-1404

Practice Phone:

718-306-5025

Practice Fax:

718-462-8000

License Number:

184579

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X