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

Prr Diagnostic Medicine PC

Organization Internal Medicine Physician · NPI 1780086363

Prr Diagnostic Medicine PC is an Internal Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

1265 Clove Rd
Staten Island, NY 10301-4339
Phone: (973) 493-7607
Fax: (914) 470-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Internal Medicine Physician Taxonomy 207R00000X (NY)
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1780086363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muhammad Mirza — Director · (973) 493-7607
NPI enumeratedSeptember 25, 2014
Last updated in NPPESSeptember 25, 2014
Mailing address1265 Clove Rd, Staten Island, NY 10301-4339

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