Individual
DR. MARIE SEDLACKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
318 E 23RD ST, NEW YORK, NY 10010-4713
(212) 598-6429
(212) 598-6512
Mailing address
318 E 23RD ST, NEW YORK, NY 10010-4713
(212) 598-6429
(212) 598-6512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
193561-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
193561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193561
HIP
—
Enumeration date
07/15/2006
Last updated
07/07/2021
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