| Seagull Medical Services | |
|
105 Norwalk Ave Staten Island NY 10314-5658 | |
| (929) 574-1629 | |
| Not Available |
| Full Name | Seagull Medical Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 105 Norwalk Ave, Staten Island, New York |
| Authorized Official Name and Position | Ilya Smuglin (OWNER) |
| Authorized Official Contact | 9293272566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seagull Medical Services 368 77th St Brooklyn NY 11209-3110 Ph: () - | Seagull Medical Services 105 Norwalk Ave Staten Island NY 10314-5658 Ph: (929) 574-1629 |
| NPI Number | 1770051690 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770051690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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