Healthcare Provider Details

I. General information

NPI: 1194895656
Provider Name (Legal Business Name): MR. HARVEY JUDE SEELEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 SOUTH ST
PEEKSKILL NY
10566-3316
US

IV. Provider business mailing address

7 ROETHAL DR
HOPEWELL JUNCTION NY
12533-5809
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-0227
  • Fax:
Mailing address:
  • Phone: 845-896-7796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number027969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: