MEDICARE: SETH A BISER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	221874	NY

General Provider Information

NPI Number	:	1154311793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH A BISER M.D.

Provider Business Mailing Address
First Line	:	654 GRAMATAN AVE
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-1604
Country	:	US
Telephone Number	:	914-664-2734
Fax Number	:

Provider Business Practice Location Address
First Line	:	654 GRAMATAN AVE
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-1604
Country	:	US
Telephone Number	:	914-664-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	06/05/2009

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