OrganizationActive
Ageless Men'S Health Holdings, PC Ca
NPI 1235581430 · Primary Care Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1235581430
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Wilkinson, Business Operations Director(702) 818-0446
Specialties & taxonomies
Ambulatory Health Care Facilities
- Specialist174400000X
Other Service Providers
Practice location
78 Todt Hill Rd Ste 205
Staten Island, NY 10314-4528
Phone: (212) 837-1946
Fax: (212) 837-1908
Approximate (ZIP-level) locationGet directions
Mailing address
1847 Victory Blvd
Staten Island, NY 10314-3550
Other names (DBA / former)
- Doing business as
- Ageless Men'S Health
- Doing business as
- Ageless Men'S Health
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.