Provider Demographics
NPI:1598056863
Name:SEIDELL, BRUCE J (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:J
Last Name:SEIDELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:216 PURCHASE ST
Mailing Address - Street 2:APT. F
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2100
Mailing Address - Country:US
Mailing Address - Phone:914-305-3619
Mailing Address - Fax:914-305-3619
Practice Address - Street 1:216 PURCHASE ST
Practice Address - Street 2:APT. F
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2100
Practice Address - Country:US
Practice Address - Phone:914-305-3619
Practice Address - Fax:914-305-3619
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2014-09-25
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Provider Licenses
StateLicense IDTaxonomies
NY141965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine