Individual
SETH ALLEN JERABEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
541 EAST 71ST STREET, 6TH FLOOR, NEW YORK, NY 10021
(212) 774-7180
(212) 774-7347
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-7180
(212) 774-7347
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
255396
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
255396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03478159
—
NY
Enumeration date
02/26/2007
Last updated
10/24/2024
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