Provider Demographics
NPI:1417025537
Name:WOLIN, SETH M (DC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:M
Last Name:WOLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 BYRAM BROOK PL
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2317
Mailing Address - Country:US
Mailing Address - Phone:914-273-6777
Mailing Address - Fax:914-273-7860
Practice Address - Street 1:2 BYRAM BROOK PL
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2317
Practice Address - Country:US
Practice Address - Phone:914-273-6777
Practice Address - Fax:914-273-7860
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005432-1111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO5432-2BOtherWORKERS COMPENSATION
NY911530OtherACN
NYP414924OtherOXFORD HEALTH PLANS
NYX-2903OtherEMPIRE BC-BS
NY4325966OtherAETNA
NY4325966OtherAETNA
T53111Medicare UPIN