SEA GATE MEDICAL (NPI# 1316234669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316234669 |
| Entity Type | Organization |
| Organization Name | SEA GATE MEDICAL |
| Practice Address |
1961 Coney Island Ave Brooklyn NY 11223-2328 |
| Mailing Address |
2580 Ocean Pkwy Apt. 2l Brooklyn NY 11235-7746 |
| Practice Telephone | 7183447637 |
| Practice Fax Number | 7184901468 |
| Mailing Telephone | 7182365077 |
| Mailing Fax Number | 7187151437 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | VALENTIN PRIDATKO (DO) |
| Authorized Official Telephone | 7182365077 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
205927 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 018288888537 | 05 |
| Street Address |
1961 CONEY ISLAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11223-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326481276 | Sofia Tofiga Gamidova | Nurse Practitioner | 1961 Coney Island Ave, Brooklyn, NY 11223-2328 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1184269755 | Core Physical Therapy Services PC | Physical Therapist | 2003 Coney Island Ave, Brooklyn, NY 11223 | 2019-11-07 |
| 1558903658 | Solar Health Physical Therapy and Acupuncture P.C. | Acupuncturist | 339 Kings Highway, Brooklyn, NY 11223 | 2019-10-10 |
| 1356810543 | Victorian Aznar | Physical Therapist | 1750 W 9th St, Brooklyn, NY 11223 | 2018-11-16 |
| 1669990149 | Avraham Chaim Knobel | Social Worker | 2020 Coney Island Avenue, Brooklyn, NY 11223 | 2017-09-05 |
| 1386174373 | Orly Meyer | Occupational Therapist | 2092 E 7th St, Brooklyn, NY 11223 | 2017-06-13 |
| 1790223840 | Roshauna Joseph | Licensed Practical Nurse | 2326 West 8th Street, Brooklyn, NY 11223 | 2017-02-09 |
| 1942747142 | Ace Management Am Corp | Case Management | 2375 East 3rd Street Brooklyn, 1a, Brooklyn, NY 11223 | 2017-01-25 |
| 1518401140 | Auburn Heller | Speech-Language Pathologist | 64 Ave X, Speech Dept P721k, Brooklyn, NY 11223 | 2016-12-16 |
| Find all providers in zip 11223 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609380617 | Donna Yu | Family Medicine | 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 | 2017-11-29 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1962758557 | Jahan Medical Service PC | Family Medicine | 509 Mcdonald Ave, Brooklyn, NY 11218-3885 | 2012-08-01 |
| 1083984967 | Rhodina Lynn Williams | Family Medicine | 527 Madison St, Brooklyn, NY 11221-1603 | 2012-01-09 |
| 1265751002 | Simon Li | Family Medicine | 8510 19th Ave, Brooklyn, NY 11214 | 2010-05-19 |
| 1578794434 | Doctor On Call Medical PC | Family Medicine | 2646 E 14th St, Brooklyn, NY 11235-3916 | 2009-07-27 |
| 1417102658 | Cary Daniel | Family Medicine | 2316 Nostrand Ave, Brooklyn, NY 11210-3840 | 2008-12-01 |
| 1245394105 | Kang Liu | Family Medicine | 387 Clinton St, Brooklyn, NY 11231-3659 | 2006-12-21 |
| 1467516146 | Frances Ruth Minkowitz | Family Medicine | 85 E 16th St, Brooklyn, NY 11226-4309 | 2006-12-20 |
| 1053479816 | Mark C Joseph | Family Medicine | 1509 Rockaway Pkwy, Brooklyn, NY 11236 | 2006-12-05 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on SEA GATE MEDICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.