Individual
DR. SEONGPAN SI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5517 7TH AVE, BROOKLYN, NY 11220-3519
(718) 436-3023
(718) 436-3023
Mailing address
247 BAY 23RD ST, BROOKLYN, NY 11214-6108
(718) 449-4966
(718) 436-3023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
234283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02607587
—
NY
Enumeration date
07/26/2005
Last updated
07/08/2007
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