STATEN ISLAND MEDICAL GROUP, PLLC

NPI # 

Practice Address:

2071 Clove Rd

Staten Island, NY, 10304-1612

Practice Phone:

718-391-0303

License Number:

4431

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X