Healthcare Provider Details

I. General information

NPI: 1932405883
Provider Name (Legal Business Name): SELIGMAN ORTHODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

898 PARK AVE SUITE 1N
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: DAVID HARVEY SELIGMAN
Title or Position: OWNER
Credential: DMD
Phone: 212-988-8235