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

Lindenwood Medical PC

Organization Adult Medicine Physician · NPI 1811220882

Lindenwood Medical PC is an Adult Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

11 Ralph Pl Ste 112
Staten Island, NY 10304-4408
Phone: (718) 954-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 251641 (NY)

Record details

NPI number1811220882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zoya Koroleva — Medical Director · (718) 954-2202
NPI enumeratedSeptember 9, 2009
Last updated in NPPESJanuary 4, 2022
Certification dateFebruary 3, 2021
Mailing address11 Ralph Pl Ste 112, Staten Island, NY 10304-4408

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