Provider Demographics
NPI:1497961767
Name:SELIGMAN, NEIL S (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:S
Last Name:SELIGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 668
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-487-3350
Mailing Address - Fax:585-334-0699
Practice Address - Street 1:500 RED CREEK DR.
Practice Address - Street 2:SUITE 210
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-487-3350
Practice Address - Fax:585-334-0699
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261165207V00000X, 207VM0101X
PAMT184255207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03377584Medicaid
NYJ400053444Medicare PIN
NY03377584Medicaid