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TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC NPI 1770822736


NPI Information

NPI: 1770822736
Provider Name: TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC

Doing Business As: ADVANTAGE MEDICAL CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2955 VETERANS RD W
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 984-4094
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TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC 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. TOTTENVILLE PRIMARY OSTEOPATHIC MEDICINE PLLC NPI is 1770822736. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advantage Medical Care.

The provider's business location address is:

2955 VETERANS RD W
STATEN ISLAND, NY
ZIP 10309-515
Phone: (718) 984-4094

The provider's authorized official is Thomas Bottiglieri .
The authorized official title is President and has the following contact phone number (718) 984-4094.

The enumeration date for this NPI number is 2/11/2013 and was last updated on 6/3/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports Medicine237430NEW YORKNo
2207Q00000XFamily Medicine237430NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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