Sea Gate Medical

LBN: Sea Gate Medical
Sea Gate Medical is an health care organization with primary practice located at 1961 Coney Island Ave , Brooklyn NY 11223-2328. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Sea Gate Medical can be contacted via phone (718) 344-7637, or through Pridatko, Valentin via phone (718) 236-5077.

Contact Information

Primary practice address
1961 Coney Island Ave Brooklyn NY 11223-2328
Phone: (718) 344-7637
Fax: (718) 490-1468
Website:
Map and Directions
Authorized official contact:
Name: Pridatko, Valentin Doctor of Osteopathy (DO)
Phone: (718) 236-5077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 205927 New York

Profile Details

NPI number 1316234669
LBN Legal business name Sea Gate Medical
DBA Doing business as
Authorized official Pridatko, Valentin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2011
Last updated Jul 7th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316234669 NPPES
New York MEDICAID 018288888537

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