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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 P.C.

NPI Number 1689904211
LBN Legal business name STATEN ISLAND SPECIAL SURGERY P.C.
Authorized official SPENCER MALKIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2010
Last updated 01/04/2010 - About 16 years ago
Identifiers
NY License # 212519
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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