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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

NPI # 1063954113
LBN Legal business name ADVANTAGECARE PHYSICIANS PC
Authorized official NAVARRA RODRIGUEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/07/2016
Last updated 08/02/2017 - About 9 years ago
Identifiers n/a
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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