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

Sg Medical Professional PC

Organization Family Medicine Physician · NPI 1457085615

Sg Medical Professional PC is a Family Medicine Physician in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

260 Christopher Ln Ste 102A
Staten Island, NY 10314-1631
Phone: (718) 362-1405
Fax: (718) 414-1651
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1457085615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dov Hollander — Director Of Operations · (631) 759-9920
NPI enumeratedJuly 13, 2022
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address45 S Route 9w Unit 41 #114, West Haverstraw, NY 10993-1053

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