Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sea Medical Wellness PC

Organization Family Medicine Physician · NPI 1275373516

Sea Medical Wellness PC provides Family Medicine Physician services in Port Jefferson Station, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Joline Rd
Port Jefferson Station, NY 11776-3306
Phone: (631) 656-6231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1275373516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farhad Gazi — Owner · (917) 328-9637
NPI enumeratedMay 24, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address62 Joline Rd, Port Jefferson Station, NY 11776-3306

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