NPI 1457888935

Si.Senior Lifestyle Center INC

Organisation Health Maintenance Organization Staten Island, NY

Practice location

Address: 98 Port Richmond Ave, Staten Island, NY 10302-1344
Phone: (718) 496-1111

Authorised official

Name: Chun X Jiang
Title: Director
Phone: (718) 496-1111

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1457888935
Entity type: Organization
NPI issued: 16 May 2017
Record last updated: 16 May 2017

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.