Healthcare Provider Details

I. General information

NPI: 1306988811
Provider Name (Legal Business Name): DAVID FRANKLIN SEYBURN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 FRANKLIN AVE SUITE 300
GARDEN CITY NY
11530-2926
US

IV. Provider business mailing address

1000 FRANKLIN AVE SUITE300
GARDEN CITY NY
11530-2926
US

V. Phone/Fax

Practice location:
  • Phone: 516-248-6868
  • Fax: 516-248-6841
Mailing address:
  • Phone: 516-248-6868
  • Fax: 516-248-6841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number154256
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number154256
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: