SEAGULL MEDICAL SERVICES (NPI# 1770051690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770051690 |
| Entity Type | Organization |
| Organization Name | SEAGULL MEDICAL SERVICES |
| Practice Address |
105 Norwalk Ave Staten Island NY 10314-5658 |
| Mailing Address |
368 77th St Brooklyn NY 11209-3110 |
| Practice Telephone | 9295741629 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | ILYA SMUGLIN (OWNER) |
| Authorized Official Telephone | 9293272566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SEAGULL MEDICAL SERVICES P.C. | 3048 Brighton 1st Street, Suite 502, Brooklyn, New York 11235 |
| Street Address |
105 NORWALK AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1225688419 | Artisans Ambulatory Medical Care Pllc | Clinic/Center | 4521 Arthur Kill Rd Fl 2, Staten Island, NY 10309-1315 | 2019-09-19 |
| 1811054042 | Richmond University Medical Center | Clinic/Center | 355 Bard Ave, Staten Island, NY 10310-1664 | 2007-01-03 |
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| 1477176634 | St. Peter's Health Partners Medical Associates, P.C. | Clinic/Center | 1301 River Street Suite 202, St. Peter's Obgyn At Valatie, Valatie, NY 12184-8696 | 2020-05-22 |
| 1831718196 | Critical Care Medicine Services - New York, P.C. | Clinic/Center | 747 3rd Ave Ste 28b, New York, NY 10017-2803 | 2020-04-15 |
| 1275172280 | Citimedical Services PC | Clinic/Center | 6336 99th St Fl 1, Rego Park, NY 11374-1979 | 2019-12-23 |
| 1336799295 | Wellness Medical Services of Manhattan PC | Clinic/Center | 51 E 25th St Ste 499, New York, NY 10010-2945 | 2019-09-12 |
| 1790347243 | Jacob Jacoby Md | Clinic/Center | 100 Route 59 Ste 103, Suffern, NY 10901-4927 | 2019-07-05 |
| 1174089056 | City Medical of Upper East Side, Pllc | Clinic/Center | 216 E 14th St Ste B, New York, NY 10003-4105 | 2019-02-15 |
| 1093282329 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 500 W 33rd St, New York, NY 10001-1301 | 2018-10-24 |
| 1770067738 | Samaritan Hospital of Troy, New York | Clinic/Center | 147 Hoosick St Ste E, Troy, NY 12180-2393 | 2018-09-17 |
| 1134615016 | City Integrative Medicine PC | Clinic/Center | 56 W 45th St Fl 8, New York, NY 10036-4215 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on SEAGULL MEDICAL SERVICES.
| 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.