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

Staten Island University Hospital

Organization Methadone Clinic · NPI 1700480050

Staten Island University Hospital is a Methadone Clinic in Staten Island, New York. Works from 5 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

392 Seguine Ave
Staten Island, NY 10309-3906
Phone: (718) 226-3815
Fax: (718) 226-8144
Show map & directions

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

Additional practice locations (4)

  • 567 E 105th St, Brooklyn, NY 11236-2213 — (718) 226-4930
  • 111 Water St, Staten Island, NY 10304-2709 — (718) 226-4990
  • 475 Seaview Ave, Staten Island, NY 10305-3436 — (718) 226-5797
  • 375 Seguine Ave, Staten Island, NY 10309-3932 — (718) 226-3815

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X

Record details

NPI number1700480050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusack — Senior Vice President & Cfo · (516) 321-6058
Other names Opioid Treatment Program
NPI enumeratedNovember 27, 2020
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing address392 Seguine Ave, Staten Island, NY 10309-3906