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Organization

JAY A. SEITZ, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY A SEITZ PH.D. (PRESIDENT/OWNER)
(917) 209-9623
Entity
Organization

Contact information

Practice address
590 W END AVE, SUITE 3A, NEW YORK, NY 10024-1722
(917) 209-9623
(212) 594-2468
Mailing address
590 W END AVE, SUITE 3A, NEW YORK, NY 10024-1722
(917) 209-9623
(212) 594-2468

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
010816
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01-694-077
NY
Enumeration date
11/28/2008
Last updated
05/10/2011
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