# VS CENTRAL MEDICAL, PC

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

## Provider details

- **NPI number:** 1942672068
- **Authorized official:** DR. SEO HAN M.D. (OWNER)
- **Authorized official phone:** (347) 287-7827

## Contact information

- **Practice address:** 139 N CENTRAL AVE, VALLEY STREAM, NY 11580-3856
- **Practice address phone:** (347) 287-7827
- **Practice address fax:** (347) 710-3067
- **Mailing address:** 139 N CENTRAL AVE, VALLEY STREAM, NY 11580-3856
- **Mailing address phone:** (347) 287-7827
- **Mailing address fax:** (347) 710-3067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 10/28/2015