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SEONGPAN PHYSICIAN PC NPI 1578580650


NPI Information

NPI: 1578580650
Provider Name: SEONGPAN PHYSICIAN PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5517 7TH AVE FL 1
BROOKLYN, NY
ZIP 11220
Phone: (718) 436-3023
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SEONGPAN PHYSICIAN PC is an obstetrics gynecology in Brooklyn, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SEONGPAN PHYSICIAN PC NPI is 1578580650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5517 7TH AVE FL 1
BROOKLYN, NY
ZIP 11220-519
Phone: (718) 436-3023
Fax: (718) 436-3023

The provider's authorized official is Seongpan Si .
The authorized official title is President and has the following contact phone number (718) 436-3023.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology234283NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102607587MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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