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Individual

DR. ROBERTA SEIDMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
UNIVERSITY HOSPITAL, STONY BROOK, NY 11794-0001
(631) 444-2227
Mailing address
PO BOX 1599, STONY BROOK, NY 11790-0894
(631) 444-2227

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
159602
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01192098
NY
01
78F961
EMPIRE BC.BS
NY
Enumeration date
06/14/2006
Last updated
07/08/2007
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