# RICHARD M SELDES M D P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386735454
- **Authorized official:** AMANTINA LORA (OFFICE MANAGER)
- **Authorized official phone:** (212) 604-1367

## Contact information

- **Practice address:** 4 ROSE HAVEN LN, ROCKLEIGH, NJ 07647-2720
- **Practice address phone:** (212) 604-1367
- **Mailing address:** PO BOX 27881, NEW YORK, NY 10087-7881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 216190 | NY | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 06076 | GHI MEDICARE | NY |
| 01 | — | 111860 | MEDICARE NEW JERSEY | NJ |
| 01 | — | P00224589 | RAILROAD MEDICARE | NY |