LINDENWOOD HEALTH MEDICAL PC NPI 1295274314

NPI Information

LINDENWOOD HEALTH MEDICAL PC is a family medicine in Staten Island, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LINDENWOOD HEALTH MEDICAL PC NPI is 1295274314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3974 AMBOY RD
SUITE 302
STATEN ISLAND, NY
ZIP 10308
Phone: (718) 967-1071
Fax: (718) 966-0359

The provider's authorized official is Tatyana Katsman .
The authorized official title is President and has the following contact phone number (862) 208-9959.

The CLIA number assigned to this NPI record is 33D2197902 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 6/28/2019.

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:

Other Identifiers

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