Provider Demographics
NPI:1336481068
Name:SEITZ, KAITLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:
Last Name:SEITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAITLIN
Other - Middle Name:
Other - Last Name:KLIPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1155 NORTHERN BLVD # 3000
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3040
Mailing Address - Country:US
Mailing Address - Phone:516-407-4000
Mailing Address - Fax:212-731-5210
Practice Address - Street 1:1155 NORTHERN BLVD # 3000
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3040
Practice Address - Country:US
Practice Address - Phone:516-407-4000
Practice Address - Fax:212-731-5210
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279467207RC0200X, 208M00000X, 207RP1001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program