Provider Demographics
NPI:1821087529
Name:PARK EAST GYNECOLOGY & SURGERY PC
Entity Type:Organization
Organization Name:PARK EAST GYNECOLOGY & SURGERY PC
Other - Org Name:TAMER A. SECKIN M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SECKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-988-1444
Mailing Address - Street 1:872 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4953
Mailing Address - Country:US
Mailing Address - Phone:212-988-1444
Mailing Address - Fax:212-988-1755
Practice Address - Street 1:872 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4953
Practice Address - Country:US
Practice Address - Phone:212-988-1444
Practice Address - Fax:212-988-1755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157705207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY157705OtherMEDICAL LICENSE
NY00943980Medicaid
NY157705OtherMEDICAL LICENSE