Healthcare Provider Details

I. General information

NPI: 1366641151
Provider Name (Legal Business Name): MARGARET SEIDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVENUE DEPARTMENT OF BEHAVIORAL SCIENCES
NEW YORK NY
10305
US

IV. Provider business mailing address

450 SEAVIEW AVE DEPARTMENT OF PSYCHIATRY
STATEN ISLAND NY
10305-3401
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-2776
  • Fax: 410-955-0152
Mailing address:
  • Phone: 718-226-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number22031
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number275268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: