S. Adimoolam, Physician, PC
Specialist in Staten Island, New York
1861561441- Practice location
- 1756 Richmond Ave, Staten Island, NY 10314-3902
- Phone
- 718-494-3383
- Fax
- 718-494-1705
- Last updated
- August 18, 2008
S. Adimoolam, Physician, PC is a healthcare organization based in Staten Island, NY. S. Adimoolam, Physician, PC practices in Staten Island, NY. The NPI Number for S. Adimoolam, Physician, PC is 1861561441 and holds a License No. nys121313 (NY). The current practice location address for S. Adimoolam, Physician, PC is 1756 Richmond Ave, Staten Island, NY 10314-3902 and can be reached out via phone at 718-494-3383 and via fax at 718-494-1705.
Provider Profile Details
- NPI Number
- 1861561441
- Provider Name
- S. Adimoolam, Physician, PC
- Provider Entity Type
- Organization
- Address
- 1756 Richmond Ave, Staten Island, NY 10314-3902
- Phone Number
- 718-494-3383
- Fax Number
- 718-494-1705
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Debra Prucha · Office Manager · 718-494-4934
- Provider Enumeration Date
- November 7, 2006
- Last Update Date
- August 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1756 Richmond Ave
Staten Island, NY 10314-3902 - City
- Staten Island
- State
- New York
- Zip
- 10314-3902
- Phone Number
- 718-494-3383
- Fax Number
- 718-494-1705
Provider Business Mailing Address Details
- Address
- 1756 Richmond Ave
Staten Island, NY 10314-3902 - City
- Staten Island
- State
- NY
- Zip
- 10314-3902
- Phone Number
- 718-494-3383
- Fax Number
- 718-494-1705
License Information
- License Number
- nys121313
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of S. Adimoolam, Physician, PC?
The NPI number of S. Adimoolam, Physician, PC is 1861561441. It was assigned on November 7, 2006 and is currently active in the NPPES registry.
What is the specialty of S. Adimoolam, Physician, PC?
S. Adimoolam, Physician, PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number nys121313.
Where does S. Adimoolam, Physician, PC practice?
The practice location is 1756 Richmond Ave, Staten Island, NY 10314-3902. The office can be reached at 718-494-3383 (phone) or 718-494-1705 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861561441 directly on the NPPES registry website.