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Contact Information

EMERGENCY MEDICINE SERVICES OF STATEN ISLAND, PC
475 SEAVIEW AVE
STATEN ISLAND, NY10305-3436
 Phone: 718-226-9158
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EMERGENCY MEDICINE SERVICES OF STATEN ISLAND, PC

NPI Number 1457376022
LBN Legal business name EMERGENCY MEDICINE SERVICES OF STATEN ISLAND, PC
Authorized official BRAHIM ARDOLIC - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 04/03/2009 - About 17 years ago
Identifiers
NY Medicaid 02244851
NY Other CJ7965 RR MEDICARE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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