# SEAGULL MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1770051690
- **Authorized official:** ILYA SMUGLIN MD (OWNER)
- **Authorized official phone:** (929) 327-2566

## Contact information

- **Practice address:** 105 NORWALK AVE, STATEN ISLAND, NY 10314-5658
- **Practice address phone:** (929) 574-1629
- **Mailing address:** 368 77TH ST, BROOKLYN, NY 11209-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 11/15/2018