RD MEDICAL PROFESSIONAL SERVICES PC NPI 1811643166

NPI Information

RD MEDICAL PROFESSIONAL SERVICES PC is a family medicine in Staten Island, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RD MEDICAL PROFESSIONAL SERVICES PC NPI is 1811643166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

260 CHRISTOPHER LN STE 102A
STATEN ISLAND, NY
ZIP 10314-631
Phone: (914) 295-9323
Fax: (315) 612-9793

The provider's authorized official is Camila Mendez .
The authorized official title is Director Of Operations and has the following contact phone number (914) 295-9323.

The CLIA number assigned to this NPI record is 33D2278330 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2022 and was last updated on 1/2/2024.

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:

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.