Organization
VS CENTRAL MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEO HAN M.D. (OWNER)
(347) 287-7827
Entity
Organization
Contact information
Practice address
139 N CENTRAL AVE, VALLEY STREAM, NY 11580-3856
(347) 287-7827
(347) 710-3067
Mailing address
139 N CENTRAL AVE, VALLEY STREAM, NY 11580-3856
(347) 287-7827
(347) 710-3067
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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