Provider Demographics
NPI:1265456800
Name:SETH A. BISER, M.D., P.C.
Entity Type:Organization
Organization Name:SETH A. BISER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BISER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-664-2300
Mailing Address - Street 1:654 GRAMATAN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1604
Mailing Address - Country:US
Mailing Address - Phone:914-664-2300
Mailing Address - Fax:914-664-2535
Practice Address - Street 1:654 GRAMATAN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1604
Practice Address - Country:US
Practice Address - Phone:914-664-2300
Practice Address - Fax:914-664-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221874207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH41314Medicare UPIN