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

S. Adimoolam, Physician, PC

Organization Specialist · NPI 1861561441

S. Adimoolam, Physician, PC is a Specialist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

1756 Richmond Ave
Staten Island, NY 10314-3902
Phone: (718) 494-3383
Fax: (718) 494-1705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence NYS121313 (NY)

Record details

NPI number1861561441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Prucha — Office Manager · (718) 494-4934
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 18, 2008
Mailing address1756 Richmond Ave, Staten Island, NY 10314-3902

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