OrganizationActive
Uscg Sector New York
NPI 1770553752 · Military/U.S. Coast Guard Outpatient Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1770553752
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Armentrout, Clinic Administrator(718) 354-4341
- License
- 0101050128 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
215 Drum Road
Room D-113
Staten Island, NY 10305
Phone: (718) 354-4414
Fax: (718) 354-4415
Approximate (ZIP-level) locationGet directions
Mailing address
215 Drum Road
Staten Island, NY 10305
Registry dates
- Enumerated
- 2006-01-24
- Last updated
- 2010-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.