Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 260690 | NY |
Y | 2084N0402X | Child Neurologist | 260690 | NY |
NPI | 1033248588 |
---|---|
Provider Name | Laurie E Seltzer |
First Address | Rochester, NY 14627-8984 |
Second Address | Rochester, NY 14642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 01/03/2012 |