NPI 1073669479

Island Internist PC

Organisation General Practice Physician Staten Island, NY

Practice location

Address: 420 Lyndale Ave, Staten Island, NY 10312-6131
Phone: (718) 967-5630
Fax: (718) 967-7099

Authorised official

Name: Donna Seminara
Title: Owner
Phone: (718) 967-1700

Registered specialties (5)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 234387 (NY)

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Registry record

NPI: 1073669479
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 27 May 2010

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.