Organization
MOHAMMED SEEDAT MD AND CORAL NICHOLAS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED S SEEDAT M.D. (OWNER)
(315) 336-3353
Entity
Organization
Contact information
Practice address
1316 BLACK RIVER BLVD N, ROME, NY 13440-3601
(315) 336-3353
(315) 336-3356
Mailing address
1316 BLACK RIVER BLVD N, ROME, NY 13440-3601
(315) 336-3353
(315) 336-3356
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
202800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02731588
—
NY
Enumeration date
04/09/2008
Last updated
12/28/2012
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