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Individual

JOAN SEAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
206 HALF HOLLOW RD, DIX HILLS, NY 11746
(631) 673-7700
Mailing address
34 SYCAMORE AVE, LAKE GROVE, NY 11755-2733

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
400009
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400009
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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