1437250206 NPI number — NANCY C SEDDIO PH D RNCS

Table of content: NANCY C SEDDIO PH D RNCS (NPI 1437250206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437250206 NPI number — NANCY C SEDDIO PH D RNCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEDDIO
Provider First Name:
NANCY
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PH D RNCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437250206
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
39 NIPPON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STATEN ISLAND
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-984-5444
Provider Business Mailing Address Fax Number:
718-317-9538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
39 NIPPON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATEN ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-984-5444
Provider Business Practice Location Address Fax Number:
718-317-9538
Provider Enumeration Date:
09/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364SP0808X , with the licence number:  271709 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P2982384 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: R03841 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 157196 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 202376 . This is a "MANAGED HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6169960 . This is a "UNITED BEHAV HEALTH OF NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6802342 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7077960 . This is a "CIGNA BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 162575 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 17610P . This is a "HI OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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