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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL SEIDMAN D.D.S.

MEDICARE: DR. DAVID MICHAEL SEIDMAN D.D.S.
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
11223G0001XGeneral Practice Dentistry040871NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040871OTHERNYDENTAL LICENSE

General Provider Information

NPI Number : 1932113651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL SEIDMAN D.D.S.
Provider Business Mailing Address
First Line : 59 E 54TH ST
Second Line : GROUND LEVEL
City : NEW YORK
State : NY
Zip : 10022-4211
Country : US
Telephone Number : 212-223-0911
Fax Number : 212-223-1107
Provider Business Practice Location Address
First Line : 59 E 54TH ST
Second Line : GROUND LEVEL
City : NEW YORK
State : NY
Zip : 10022-4211
Country : US
Telephone Number : 212-223-0911
Fax Number : 212-223-1107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/23/2008

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