33D1042225 CLIA NUMBER - SI MEDICAL PRACTICE ASSOCIATES PC

Laboratory Demographics

CLIA Number: 33D1042225

Facility Name: SI MEDICAL PRACTICE ASSOCIATES PC

Facility Address:
1147 RICHMOND ROAD
STATEN ISLAND, NY
ZIP 10304
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Facility Phone Number: 718 668-2340

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265505036

Taxonomy: 207QS0010X - Family Medicine
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

CLIA Record

Field Name	Field Value
CLIA Number	33D1042225
LAB Type	Physician Office
Facility Name	SI MEDICAL PRACTICE ASSOCIATES PC
Street	1147 RICHMOND ROAD
City	STATEN ISLAND
State	NY
ZIP	10304
Phone	718 668-2340
CertificateType	4
CertificateEffectiveDate	6/22/2023
CertificateExpirationDate	6/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024