Individual
DR. VICKI LYNN SEIDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NORTHSHORE UNIVERSITY HOSPITAL @ GLEN COVE, 101 ST. ANDREWS LANE, GLEN COVE, NY 11542
(516) 674-7500
(516) 494-9755
Mailing address
30 PRIMROSE LN, ROSLYN HEIGHTS, NY 11577-1516
(516) 484-9752
(516) 484-9755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
199298
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPM&R1
NY WORKER'S COMPENSATION
NY
Enumeration date
11/01/2006
Last updated
01/18/2008
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