Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 185394 | NY |
NPI | 1568675957 |
---|---|
Provider Name | Dr. David E Seitz |
First Address | Nyack, NY 10960-1912 |
Second Address | Nyack, NY 10960-1912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 05/01/2011 |