Suny Downstate Medical Center
General Acute Care Hospital in Staten Island, NY. Organization (NPI-2).
NPI number1407110760
StatusActive
Last updated in NPPESJul 1, 2012
Details
- NPI
- 1407110760
- Entity type
- Organization (NPI-2)
- Legal business name
- Suny Downstate Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 1, 2012
- Last updated
- Jul 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | – | – | Yes |
Practice location
89 Joseph AveStaten Island, NY 10314-5054
Phone 917-697-9670
Mailing address
89 Joseph AveStaten Island, NY 10314-5054
Phone 917-697-9670
Authorized official
Jeffrey Stern
Resident Physician
9176979670
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