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Lindenwood Medical Pc
Adult Medicine Physician in Staten Island, New York
NPI 1811220882

Lindenwood Medical Pc is an Adult Medicine Physician based in Staten Island, NY and is specialized in Adult Medicine. Lindenwood Medical Pc practices in Staten Island, NY. The NPI Number for Lindenwood Medical Pc is 1811220882 and holds a License No. 251641 (New York).

The current practice location address for Lindenwood Medical Pc is 11 Ralph Pl Ste 112, Staten Island, NY and can be reached out via phone at 718-954-2202.

Location: 11 Ralph Pl Ste 112, Staten Island, NY, 10304-4408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811220882
Provider Name
Lindenwood Medical Pc
Credential
Provider Entity Type
Organization
Address
11 Ralph Pl Ste 112, Staten Island, NY, 10304-4408
Phone Number
718-954-2202
Fax Number
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03130027 05 NY
institution
Provider Business Practice Location Address Details
Address
11 Ralph Pl Ste 112
City
Staten Island
State
New York
Zip
10304-4408
Phone Number
718-954-2202
Fax Number
person
Provider Business Mailing Address Details
Address
11 Ralph Pl Ste 112
City
Staten Island
State
New York
Zip
10304-4408
Phone Number
718-954-2202
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
251641 (New York)
Definition
Definition to come.
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