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Contact Information

STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE P.C
2052 RICHMOND ROAD
STATEN ISLAND, NY10306
 Phone: 718-351-6500
 Fax: 718-351-7672
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for STATEN ISLAND ORTHOPEDICS SPORTS MEDICINE PC · (Female)

NPI # 1679698310
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2007
Last updated 10/13/2015 - About 11 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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