Organization
SEA GATE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTIN PRIDATKO DO (DO)
(718) 236-5077
Entity
Organization
Contact information
Practice address
1961 CONEY ISLAND AVE, BROOKLYN, NY 11223-2328
(718) 344-7637
(718) 490-1468
Mailing address
2580 OCEAN PKWY, APT. 2L, BROOKLYN, NY 11235-7746
(718) 236-5077
(718) 715-1437
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
205927
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018288888537
—
NY
Enumeration date
07/07/2011
Last updated
07/07/2011
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