1548220478 NPI number — SECO OCCUPATIONAL THERAPY PC

Table of content: MR. MELVIN T. ZEIDERS III CRNP (NPI 1437284528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548220478 NPI number — SECO OCCUPATIONAL THERAPY PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SECO OCCUPATIONAL THERAPY PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1548220478
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26 CONKEY AVE BOX 136
Provider Second Line Business Mailing Address:
EATON CENTER 5TH FLOOR
Provider Business Mailing Address City Name:
NORWICH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-334-5010
Provider Business Mailing Address Fax Number:
607-336-7326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26 CONKEY AVE
Provider Second Line Business Practice Location Address:
UHS THERAPIES NORWICH
Provider Business Practice Location Address City Name:
NORWICH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-334-5010
Provider Business Practice Location Address Fax Number:
607-336-7326
Provider Enumeration Date:
03/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEAGER
Authorized Official First Name:
TERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
607-334-5010

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com