STATEN ISLAND UNIVERSITY HOSPITAL is a methadone clinic center in Staten Island, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. STATEN ISLAND UNIVERSITY HOSPITAL NPI is 1700480050. The provider is registered as an organization entity type.
The provider Is Doing Business As Opioid Treatment Program.
The provider's business location address is:
392 SEGUINE AVE
STATEN ISLAND, NY
ZIP 10309-906
Phone: (718) 226-3815
Fax: (718) 226-8144
The provider's authorized official is Michele L Cusack .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (516) 321-6058.
The enumeration date for this NPI number is 11/27/2020 and was last updated on 2/5/2021.