UNITED STATES COAST GUARD

Health Maintenance Organization

NPI: 1043346216Organization

Specialties, Licenses & Credentials

Health Maintenance OrganizationPrimary

Health Maintenance Organization

Code: 302R00000X

17100000X(NY)

Contact & Hours

Address: 215 DRUM RD, RM D-113
STATEN ISLAND, NY 10305
Phone: (718) 354-4414

Location

Practice Location

215 DRUM RD, STATEN ISLAND, NY

Quick Facts

NPI: 1043346216
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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