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Individual

DR. PEGGY SEIDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
HEALTH SCIENCES CENTER L4 #060, STONY BROOK, NY 11794-0001
(631) 444-2975
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2975

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
234929
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01273798
NY
01
0176T2
EMPIRE BC.BS
NY
Enumeration date
06/25/2006
Last updated
04/12/2016
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