NPI 1043346216

United States Coast Guard

Organisation Health Maintenance Organization Staten Island, NY

Practice location

Address: 215 Drum Rd, Staten Island, NY 10305-5001
Phone: (718) 354-4414

Authorised official

Name: Quirico Cabredo
Title: Commander
Phone: (718) 354-4414

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 17100000X (NY)

Other Health Maintenance Organization providers in New York →

Registry record

NPI: 1043346216
Entity type: Organization
NPI issued: 24 Feb 2007
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.