# 758 MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316259831
- **Authorized official:** DR. SEONGPAN SI MD (PRESIDENT)
- **Authorized official phone:** (718) 436-3023

## Contact information

- **Practice address:** 758 56TH ST, BROOKLYN, NY 11220-3504
- **Practice address phone:** (718) 436-3023
- **Practice address fax:** (718) 871-2805
- **Mailing address:** 758 56TH ST, BROOKLYN, NY 11220-3504
- **Mailing address phone:** (718) 436-3023
- **Mailing address fax:** (718) 871-2805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 234283 | NY | Yes |

## Other

- **Enumeration date:** 07/13/2010
- **Last updated:** 07/13/2010