Targee Street Internal Medicine Group
Targee Street Internal Medicine Group provides Adult Medicine Physician services in Staten Island, New York. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
11 Ralph Pl Ste 317BStaten Island, NY 10304-4401 Not confirmed with CMS for 15 years — call before visiting
Phone: (718) 447-4023
Fax: (718) 273-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|
Record details
| NPI number | 1205127669 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paulino Albano — Owner · (718) 447-4023 |
| NPI enumerated | April 20, 2011 |
| Last updated in NPPES | April 20, 2011 |
| Mailing address | 11 Ralph Pl, Suite 317b, Staten Island, NY 10304-4401 |
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