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UNIVERSITY PHYSICIANS GROUP P C

Allergy and Immunology

Staten Island, New York

Provider NPI: 1104872134

Organization Information:
Organization Name:  UNIVERSITY PHYSICIANS GROUP P C


Practice Location:
65 ROSE AVE  STATEN ISLAND, NY 10306 US
Tel: 718-226-1012  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
N207Q00000XPhysicians
Family Medicine
N207R00000XPhysicians
Internal Medicine
N207RE0101XPhysicians
Internal Medicine
N207RG0100XPhysicians
Internal Medicine
N207RG0300XPhysicians
Internal Medicine
N207RR0500XPhysicians
Internal Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
N2080P0210XPhysicians
Pediatrics
N2080P0214XPhysicians
Pediatrics
N2085N0904XPhysicians
Radiology
N2085R0204XPhysicians
Radiology
N2085U0001XPhysicians
Radiology
Y208D00000XPhysicians
General Practice

Other Provider Identifiers:

IssuerNumberStateType
01256440NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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