Advance Medical and Diet Services
Advance Medical and Diet Services provides Family Medicine Physician services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
3930 Richmond AveStaten Island, NY 10312-5104 Not confirmed with CMS for 15 years — call before visiting
Phone: (718) 605-1040
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 166460 (NY) |
|---|
Record details
| NPI number | 1861785149 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugene Mancuso — President · (718) 605-1040 |
| NPI enumerated | May 19, 2011 |
| Last updated in NPPES | May 19, 2011 |
| Mailing address | 3930 Richmond Ave, Staten Island, NY 10312-5104 |
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