Organization
SEONGPAN PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEONGPAN SI M. D. (PRESIDENT)
(718) 436-3023
Entity
Organization
Contact information
Practice address
5517 7TH AVE FL 1, BROOKLYN, NY 11220-3519
(718) 436-3023
(718) 436-3023
Mailing address
247 BAY 23RD ST, BROOKLYN, NY 11214-6108
(718) 449-4966
(718) 449-4966
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
07/16/2006
Last updated
08/22/2020
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