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Organization

MITCHELL S. SEIDMAN PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL STEVEN SEIDMAN D.O. (OWNER/OPHTHALMOLOGIST)
(718) 332-2020
Entity
Organization

Contact information

Practice address
2989 OCEAN PKWY, GROUND FLOOR, BROOKLYN, NY 11235-8389
(718) 332-2020
(718) 332-3248
Mailing address
2989 OCEAN PKWY, GROUND FLOOR, BROOKLYN, NY 11235-8389
(718) 332-2020
(718) 332-3248

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
266221
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04157351
NY
Enumeration date
02/21/2017
Last updated
02/21/2017
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