STATEN ISLAND MEDICAL GROUP, PLLC is an ambulatory surgical clinic center in Staten Island, NY. STATEN ISLAND MEDICAL GROUP, PLLC NPI is 1326302803. The provider is registered as an organization entity type.
The provider's business location address is:
2071 CLOVE RD
STATEN ISLAND, NY
ZIP 10304-612
Phone: (718) 391-0303
The provider's authorized official is Rosemarie Phillip .
The authorized official title is Medical Director and has the following contact phone number (201) 857-4011.
The enumeration date for this NPI number is 6/28/2012 and was last updated on 6/28/2012.