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Individual

EDWARD GERARD SEITER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
(516) 663-2184
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-6106
(516) 765-5801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004322
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
11/04/2006
Last updated
11/05/2008
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