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Sea Gate Medical
Adult Medicine Physician in Brooklyn, New York
NPI 1316234669

Sea Gate Medical is an Adult Medicine Physician based in Brooklyn, NY and is specialized in Adult Medicine. Sea Gate Medical practices in Brooklyn, NY. The NPI Number for Sea Gate Medical is 1316234669 and holds a License No. 205927 (New York).

The current practice location address for Sea Gate Medical is 1961 Coney Island Ave, Brooklyn, NY and can be reached out via phone at 718-344-7637 and via fax at 718-490-1468.

Location: 1961 Coney Island Ave, Brooklyn, NY, 11235-7746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316234669
Provider Name
Sea Gate Medical
Credential
Provider Entity Type
Organization
Address
1961 Coney Island Ave, Brooklyn, NY, 11235-7746
Phone Number
718-344-7637
Fax Number
718-490-1468
Provider Enumeration Date
07/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018288888537 05 NY
institution
Provider Business Practice Location Address Details
Address
1961 Coney Island Ave
City
Brooklyn
State
New York
Zip
11223-2328
Phone Number
718-344-7637
Fax Number
718-490-1468
person
Provider Business Mailing Address Details
Address
1961 Coney Island Ave
City
Brooklyn
State
New York
Zip
11223-2328
Phone Number
718-344-7637
Fax Number
718-490-1468
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
205927 (New York)
Definition
Definition to come.
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