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Individual

BRUCE A SEIDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 NORTHERN BOULEVARD, SUITE 300, GREAT NECK, NY 11021
(516) 627-8717
(516) 365-1634
Mailing address
600 NORTHERN BOULEVARD, SUITE 300, GREAT NECK, NY 11021
(516) 627-8717
(516) 365-1634

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
152494
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
97D213
BCBS
NY
01
A51135
OXFORD
Enumeration date
05/27/2006
Last updated
03/05/2008
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