OrganizationActive
Staten Islan University Hospital
NPI 1841569282 · Methadone Clinic · Brooklyn, NY
Provider details
- NPI number
- 1841569282
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wilfredo Gonzalez, Manager(718) 307-3000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
567 E 105th St
Brooklyn, NY 11236-2213
Phone: (718) 307-3000
Fax: (718) 307-3020
Approximate (ZIP-level) locationGet directions
Mailing address
567 E 105th St
Brooklyn, NY 11236-2213
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2011-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.