MEDICARE: DR. SEONGPAN SI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	234283	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164422838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEONGPAN SI M.D.

Provider Business Mailing Address
First Line	:	247 BAY 23RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6108
Country	:	US
Telephone Number	:	718-449-4966
Fax Number	:	718-436-3023

Provider Business Practice Location Address
First Line	:	5517 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3519
Country	:	US
Telephone Number	:	718-436-3023
Fax Number	:	718-436-3023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1740280171 — YANFENG CHEN M.D.
Practice Location Address:

5517 7TH AVE , 1F
BROOKLYN, NY
11220-3519

Practice Phone: 718-871-8255
Practice Fax: 718-438-2736

1578580650 — SEONGPAN PHYSICIAN PC
Practice Location Address:

5517 7TH AVE FL 1
BROOKLYN, NY
11220-3519

Practice Phone: 718-436-3023
Practice Fax: 718-436-3023

1215381314 — TONY ZHOU MD
Practice Location Address:

5517 7TH AVE APT 1F
BROOKLYN, NY
11220-3519

Practice Phone: 718-871-8255
Practice Fax:

1821559139 — LI MEI LEI
Practice Location Address:

5517 7TH AVE APT 1F
BROOKLYN, NY
11220-3519

Practice Phone: 718-360-0817
Practice Fax: 718-709-1192

1205945946 — DR. MORDEHAI AHDUT DDS
Practice Location Address:

4205 AVENUE P
BROOKLYN, NY
11234-3519

Practice Phone: 718-338-5700
Practice Fax:

1164524740 — MR. ANUKUL CHANDRA NANDI M.D.
Practice Location Address:

76 AVENUE U
BROOKLYN, NY
11223-3519

Practice Phone: 718-449-0700
Practice Fax:

Directions to “ DR. SEONGPAN SI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.