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Organization
SEAVIEW MEDICAL GROUP, PC
Active
Organization
SEAVIEW MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZ HASHAM MD (AUTHORIZED OFFICIAL)
(718) 226-9290
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9290
Mailing address
PO BOX 5807, NEW YORK, NY 10087-5807
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00658902
—
NY
01
—
W91041
MEDICARE
NY
Enumeration date
06/30/2005
Last updated
03/26/2015
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