Provider Demographics
NPI:1497286199
Name:SEBASTIAN, SEEMA ROSE (NP)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:ROSE
Last Name:SEBASTIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GUION PL
Mailing Address - Street 2:APT 2U
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-3822
Mailing Address - Country:US
Mailing Address - Phone:917-331-7405
Mailing Address - Fax:
Practice Address - Street 1:80 GUION PL
Practice Address - Street 2:APT 2U
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-3822
Practice Address - Country:US
Practice Address - Phone:917-331-7405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339948-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily