Healthcare Provider Details

I. General information

NPI: 1235435470
Provider Name (Legal Business Name): DAVID HARVEY SELIGMAN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2011
Last Update Date: 02/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 PARK AVE # 1N-0
NEW YORK NY
10075-0234
US

IV. Provider business mailing address

898 PARK AVE # 1N-0
NEW YORK NY
10075-0234
US

V. Phone/Fax

Practice location:
  • Phone: 212-988-8235
  • Fax:
Mailing address:
  • Phone: 212-988-8235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number053302
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: