USCG SECTOR NEW YORK

NPI # 

Practice Address:

215 Drum Road , Room D-113

Staten Island, NY, 10305

Practice Phone:

718-354-4414

Practice Fax:

718-354-4415

License Number:

0101050128

License State:

VA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Military/U.S. Coast Guard Outpatient

Taxonomy Code:

261QM1100X