Individual
SEPIDEH SEDGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 N VILLAGE AVE STE 300, ROCKVILLE CENTRE, NY 11570-2300
(516) 536-8151
(516) 536-8153
Mailing address
200 N VILLAGE AVE STE 300, ROCKVILLE CENTRE, NY 11570-2300
(516) 536-8151
(516) 536-8153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264403-1
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
264403
NY
207RP1001X
Pulmonary Disease Physician
Primary
264403
NY
Other
Enumeration date
06/13/2008
Last updated
07/01/2015
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