Seagate Family Medicine Associates, LLC
Family Medicine in Brooklyn, NY. Organization (NPI-2).
NPI number1619089091
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619089091
- Entity type
- Organization (NPI-2)
- Legal business name
- Seagate Family Medicine Associates, LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2064 Cropsey Ave Apt 1gBrooklyn, NY 11214-6208
Phone 718-975-8765
Mailing address
2064 Cropsey Ave Apt 1gBrooklyn, NY 11214-6208
Authorized official
Edward Stolyar
President
7189758765
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