Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Island Internist PC

Organization General Practice Physician · NPI 1073669479

Island Internist PC provides General Practice Physician services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
5
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

420 Lyndale Ave
Staten Island, NY 10312-6131 Not confirmed with CMS for 16 years — call before visiting
Phone: (718) 967-5630
Fax: (718) 967-7099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 234387 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 179723 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 22415 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 171607 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 234484 (NY)

Record details

NPI number1073669479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Seminara — Owner · (718) 967-1700
NPI enumeratedJanuary 26, 2007
Last updated in NPPESMay 27, 2010
Mailing address420 Lyndale Ave, Staten Island, NY 10312-6131

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