1982992491 NPI number — MARTIN N. SEIF, PH.D., PSYCHOLOGIST, P.C.

Table of content: (NPI 1982992491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982992491 NPI number — MARTIN N. SEIF, PH.D., PSYCHOLOGIST, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARTIN N. SEIF, PH.D., PSYCHOLOGIST, P.C.
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:
1982992491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
270 GREENWICH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWICH
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06830-6530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-907-8023
Provider Business Mailing Address Fax Number:
203-629-1212

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
270 GREENWICH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENWICH
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06830-6530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-907-8023
Provider Business Practice Location Address Fax Number:
203-629-1212
Provider Enumeration Date:
07/18/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SEIF
Authorized Official First Name:
MARTIN
Authorized Official Middle Name:
N
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
914-907-8023

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  5457 , 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)