NPI 1598031270
Board of Education
Practice location
- Address
- 344 Fanning St, Staten Island, NY 10314-5889
- Phone
- (718) 477-2434
- Fax
- (718) 477-2434
- Mailing address
- 344 Fanning St, Staten Island, NY 10314-5330
Authorised official
- Name
- Shiny Mary Abraham
- Title
- Nurse
- Phone
- (718) 946-3491
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1598031270
- Entity type
- Organization
- NPI issued
- 28 Mar 2012
- Record last updated
- 28 Mar 2012
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.