MEDICARE: DR. RICHARD SCOTT SEAMAN DDS

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	1223G0001X	General Practice Dentistry	40246	NY

General Provider Information

NPI Number	:	1902998180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD SCOTT SEAMAN DDS

Provider Business Mailing Address
First Line	:	160 E 65TH ST
Second Line	:	8E
City	:	NEW YORK
State	:	NY
Zip	:	10021-6650
Country	:	US
Telephone Number	:	212-879-5545
Fax Number	:	718-528-9618

Provider Business Practice Location Address
First Line	:	22802 LINDEN BLVD
Second Line	:
City	:	CAMBRIA HTS
State	:	NY
Zip	:	11411-1846
Country	:	US
Telephone Number	:	718-528-8592
Fax Number	:	718-528-9618

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

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