Individual
SETH P SHIFRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 302-8323
Mailing address
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 302-8493
(914) 302-8323
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
237628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02818239
—
NY
Enumeration date
05/22/2006
Last updated
06/29/2016
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