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Contact Information

SUPERIOR CLINICAL CARE PLLC
178 MORRISON AVE
STATEN ISLAND, NY10310
 Phone: 718-442-3646
 Fax: 718-442-3646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for SUPERIOR CLINICAL CARE PLLC · (Female)

NPI Number 1952773038
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2015
Last updated 10/28/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid SUPERIOR6126
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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