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

Premier Medical, PLLC

Organization Internal Medicine Physician · NPI 1962682864

Premier Medical, PLLC is an Internal Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

265 Mason Ave
Staten Island, NY 10305-3412
Phone: (718) 979-5880
Fax: (718) 979-6476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 158418 (NY)

Record details

NPI number1962682864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffry Tambor — Medical Director · (718) 979-5880
NPI enumeratedNovember 7, 2007
Last updated in NPPESNovember 2, 2015
Mailing addressPo Box 141296, Staten Island, NY 10314-1296

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