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NPI Code Detail

MEDICARE: CASSANDRA SEIDE

MEDICARE: CASSANDRA SEIDE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588944839
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA SEIDE
Provider Business Mailing Address
First Line : 3524 83RD ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-5229
Country : US
Telephone Number : 718-639-0700
Fax Number :
Provider Business Practice Location Address
First Line : 3524 83RD ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-5229
Country : US
Telephone Number : 718-639-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 08/18/2011

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Directions to “ CASSANDRA SEIDE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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