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

Staten Island Medical Intensivist PC

Organization Internal Medicine Physician · NPI 1275564841

Staten Island Medical Intensivist PC is an Internal Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-1673
Fax: (718) 226-8834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X (NY)
Internal Medicine Physician Taxonomy 207R00000X (NY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X

Record details

NPI number1275564841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Maniatis — Director · (718) 226-8836
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1 Edgewater St, Suite 723, Staten Island, NY 10305-4900

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