TARGEE STREET INTERNAL MEDICINE GROUP NPI 1205127669

NPI Information

TARGEE STREET INTERNAL MEDICINE GROUP is an adult medicine family medicine in Staten Island, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. TARGEE STREET INTERNAL MEDICINE GROUP NPI is 1205127669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11 RALPH PL
SUITE 317B
STATEN ISLAND, NY
ZIP 10304-401
Phone: (718) 447-4023
Fax: (718) 273-2025

The provider's authorized official is Paulino V Albano .
The authorized official title is Owner and has the following contact phone number (718) 447-4023.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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