# SEONGPAN PHYSICIAN PC

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

## Provider details

- **NPI number:** 1578580650
- **Authorized official:** MRS. SEONGPAN SI M. D. (PRESIDENT)
- **Authorized official phone:** (718) 436-3023

## Contact information

- **Practice address:** 5517 7TH AVE FL 1, BROOKLYN, NY 11220-3519
- **Practice address phone:** (718) 436-3023
- **Practice address fax:** (718) 436-3023
- **Mailing address:** 247 BAY 23RD ST, BROOKLYN, NY 11214-6108
- **Mailing address phone:** (718) 449-4966
- **Mailing address fax:** (718) 449-4966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 234283 | NY | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/22/2020