| Seabreeze Medical, Pc | |
|
135 Sea Breeze Ave Suite 101 Brooklyn NY 11224-3701 | |
| (718) 338-0300 | |
| (718) 513-0424 |
| Full Name | Seabreeze Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Sea Breeze Ave, Brooklyn, New York |
| Authorized Official Name and Position | Vladimir K. Smirnov (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7183380300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seabreeze Medical, Pc 135 Sea Breeze Ave Suite 101 Brooklyn NY 11224-3701 Ph: (718) 338-0300 | Seabreeze Medical, Pc 135 Sea Breeze Ave Suite 101 Brooklyn NY 11224-3701 Ph: (718) 338-0300 |
| NPI Number | 1275781403 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 08/29/2008 |
| Medicare PECOS PAC ID | 8628138872 |
|---|---|
| Medicare Enrollment ID | O20081119000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200156 (New York) | Primary |
| Provider Name | Vladmir K Smirnov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750302576 PECOS PAC ID: 3870660707 Enrollment ID: I20080918000566 |
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