Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sg Medical Professional PC

Organization Family Medicine Physician · NPI 1457085615

Sg Medical Professional PC provides Family Medicine Physician services in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

260 Christopher Ln Ste 102A
Staten Island, NY 10314-1631
Phone: (718) 362-1405
Fax: (718) 414-1651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1457085615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dov Hollander — Director Of Operations · (631) 759-9920
NPI enumeratedJuly 13, 2022
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address45 S Route 9w Unit 41 #114, West Haverstraw, NY 10993-1053

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