Staten Island University Hospital

NPI #1396755922 in Staten Island, New York

Provider Information

NPI Number: 1396755922
Entity Type: Organization
Organization Name: Staten Island University Hospital
Primary Specialty: Hospice, Inpatient
Enumeration Date: Aug 8, 2006
Last Updated: Feb 10, 2023

Practice Location

Address: 78 MEISNER AVE
City: Staten Island
State: New York
ZIP Code: 10306-1234
Phone: (718) 226-6456

Authorized Official

Name: MRS. MICHELE L CUSACK
Title: EXECUTIVE VICE PRESIDENT & CFO
Phone: (516) 321-6058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice, Inpatient	315D00000X	Primary

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