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ST VINCENTS MEDICAL CENTER STATEN ISLAND NPI 1124168117


NPI Information

NPI: 1124168117
Provider Name: ST VINCENTS MEDICAL CENTER STATEN ISLAND

Doing Business As: MEDICAL ASSOCIATES ST VINCENTS - RICHMOND

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
355 BARD AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 818-2430
Get Directions

ST VINCENTS MEDICAL CENTER STATEN ISLAND is an allergy immunology in Staten Island, NY. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ST VINCENTS MEDICAL CENTER STATEN ISLAND NPI is 1124168117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Associates St Vincents - Richmond.

The provider's business location address is:

355 BARD AVE
STATEN ISLAND, NY
ZIP 10310-664
Phone: (718) 818-2430

The provider's authorized official is Edward L Arsura .
The authorized official title is Dept Chairman and has the following contact phone number (718) 818-2430.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.


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
1207K00000XAllergy & ImmunologyYes
2207N00000XDermatologyX
3207R00000XInternal MedicineX
4207RC0200XInternal MedicineCritical Care MedicineX
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
6207RG0100XInternal MedicineGastroenterologyX
7207RG0300XInternal MedicineGeriatric MedicineX
8207RH0003XInternal MedicineHematology & OncologyX
9207RN0300XInternal MedicineNephrologyX
10207RP1001XInternal MedicinePulmonary DiseaseX
11208M00000XHospitalistX

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
101487865MEDICAIDNEW 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: 11/14/2023

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