Individual
DR. SETH MARTIN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 DONGAN WAY, EAST HAMPTON, NY 11937
(917) 301-8675
(212) 755-5572
Mailing address
2 DONGAN WAY, EAST HAMPTON, NY 11937
(917) 301-8675
(212) 755-5572
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
033118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00707135
—
NY
Enumeration date
08/16/2005
Last updated
10/24/2023
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