Provider Demographics
NPI:1033206115
Name:IWAI, SEI (MD)
Entity Type:Individual
Prefix:DR
First Name:SEI
Middle Name:
Last Name:IWAI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:257 LAFAYETTE AVE
Mailing Address - Street 2:SUITE 3850S
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4830
Mailing Address - Country:US
Mailing Address - Phone:845-368-8815
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 3850S
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-909-6900
Practice Address - Fax:914-909-2828
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
NY205205207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02140412Medicaid
NY02140412Medicaid
NY402Q01Medicare PIN