Individual
MR. SHIVA E SEEJORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3165
Mailing address
455 TARRYTOWN RD STE 1155, WHITE PLAINS, NY 10607-1313
(917) 834-8484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024027
NY
363AM0700X
Medical Physician Assistant
5419
CT
Other
Enumeration date
09/16/2021
Last updated
03/09/2022
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