Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 139778 | NY |
NPI | 1013042829 |
---|---|
Provider Name | David J. Seeley |
First Address | Woodbury, NJ 08096-2739 |
Second Address | Syracuse, NY 13203-1807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 17/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B82271 | (02) |