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Organization
758 MEDICAL SERVICES PC
Active
Organization
758 MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEONGPAN SI M.D. (PRESIDENT)
(718) 436-3023
Entity
Organization
Contact information
Practice address
758 56TH ST, BROOKLYN, NY 11220-3504
(718) 436-3023
Mailing address
758 56TH ST, BROOKLYN, NY 11220-3504
(718) 436-3023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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