Provider Demographics
NPI:1568443844
Name:SELTZER, NEAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:SELTZER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HILLSIDE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2347
Mailing Address - Country:US
Mailing Address - Phone:516-741-6202
Mailing Address - Fax:516-741-9620
Practice Address - Street 1:101 HILLSIDE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2347
Practice Address - Country:US
Practice Address - Phone:516-741-6202
Practice Address - Fax:516-741-9620
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0372681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice