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Individual
THOMAS ELDEN SEDLOCK
Active
Individual
THOMAS ELDEN SEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
106132
NY
208U00000X
Clinical Pharmacology Physician
106132
NY
208VP0000X
Pain Medicine Physician
106132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00186094046
—
NY
Enumeration date
05/23/2007
Last updated
08/23/2007
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