Uscg Sector New York
NPI #1770553752 in Staten Island, New York
Provider Information
- NPI Number
- 1770553752
- Entity Type
- Organization
- Organization Name
- Uscg Sector New York
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jan 24, 2006
- Last Updated
- Sep 24, 2010
Practice Location
- Address
- 215 DRUM ROAD
- Address 2
- ROOM D-113
- City
- Staten Island
- State
- New York
- ZIP Code
- 10305
- Phone
- (718) 354-4414
Authorized Official
- Name
- TIMOTHY L. ARMENTROUT
- Title
- CLINIC ADMINISTRATOR
- Phone
- (718) 354-4341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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