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

Emergency Medicine Services of Staten Island, PC

Organization Emergency Medicine Physician · NPI 1457376022

Emergency Medicine Services of Staten Island, PC is an Emergency Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
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

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1457376022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brahim Ardolic — Director · (718) 226-9158
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 3, 2009
Mailing address1 Edgewater Street, 6th Floor, Staten Island, NY 10305

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