Organization
MITCHELL S. SEIDMAN, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL STEVEN SEIDMAN D.O. (PRESIDENT)
(718) 332-2020
Entity
Organization
Contact information
Practice address
2989 OCEAN PKWY, BROOKLYN, NY 11235-8386
(718) 332-2020
(718) 332-3248
Mailing address
2989 OCEAN PKWY, BROOKLYN, NY 11235-8386
(718) 332-2020
(718) 332-3248
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
135268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00434753
—
NY
01
—
135268
LICENSE
NY
01
—
A100023556
MEDICARE PTAN
NY
Enumeration date
01/22/2010
Last updated
04/26/2010
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