=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225150584
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARTIN N SEIF PH.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 W 56TH ST SUITE 8J
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10019-4312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-586-0434
-----------------------------------------------------
Fax | 203-629-1212
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11 RIVER RD UNIT 113
-----------------------------------------------------
City | COS COB
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06807-2754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-907-8023
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 5457
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------