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

Island Internist PC

Organization General Practice Physician · NPI 1073669479

Island Internist PC is a General Practice Physician 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
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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