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SUPERIOR CLINICAL CARE PLLC NPI 1952773038


NPI Information

NPI: 1952773038
Provider Name: SUPERIOR CLINICAL CARE PLLC
Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
178 MORRISON AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 442-3646
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SUPERIOR CLINICAL CARE PLLC is a contractor in Staten Island, NY. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). SUPERIOR CLINICAL CARE PLLC NPI is 1952773038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

178 MORRISON AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 442-3646
Fax: (718) 442-3646

The provider's authorized official is Miriam M Pratt .
The authorized official title is Principal and has the following contact phone number 17184423646.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 10/28/2015.


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
1171W00000XContractorNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SUPERIOR6126MEDICAIDNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.