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Contact Information

STATEN ISLAND SPECIAL SURGERY P.C.
1112 SOUTH AVE
STATEN ISLAND, NY10314-3410
 Phone: 718-982-0800
 Fax: 718-982-0811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STATEN ISLAND SPECIAL SURGERY PC · (Female)

NPI Number 1689904211
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2010
Last updated 01/04/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 212519
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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