Provider Demographics
NPI:1598067597
Name:SEEDLING DEVELOPMENTAL, INC.
Entity Type:Organization
Organization Name:SEEDLING DEVELOPMENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHUETZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-805-0755
Mailing Address - Street 1:679 MAIN ST
Mailing Address - Street 2:REAR SUITE
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2404
Mailing Address - Country:US
Mailing Address - Phone:716-805-0755
Mailing Address - Fax:716-805-0126
Practice Address - Street 1:679 MAIN ST
Practice Address - Street 2:REAR SUITE
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2404
Practice Address - Country:US
Practice Address - Phone:716-805-0755
Practice Address - Fax:716-805-0126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1703962080P0008X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Single Specialty