Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 185533 | NY |
NPI | 1932268877 |
---|---|
Provider Name | David A Seidman |
First Address | New York, NY 10028-1802 |
Second Address | Richmond Hill, NY 11418-1141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 07/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E87993 | (02) | NY |