Individual
MICHELE JEAN SEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
Mailing address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
495669-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495669-1
REGISTERED NURSE LICENSE
NY
Enumeration date
09/27/2019
Last updated
03/09/2021
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