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Contact Information

ADVANTAGECARE PHYSICIANS PC
1050 CLOVE RD
UCC
STATEN ISLAND, NY10301-3627
 Phone: 646-680-1525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADVANTAGECARE PHYSICIANS PC · (Female)

NPI # 1063954113
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2016
Last updated 08/02/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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