Provider Demographics
NPI:1679544746
Name:SCHULMAN, SETH HOWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:HOWARD
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BLOSSOM TER
Mailing Address - Street 2:
Mailing Address - City:SALISBURY MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12577-5432
Mailing Address - Country:US
Mailing Address - Phone:845-496-9549
Mailing Address - Fax:
Practice Address - Street 1:371 STATE ROUTE 17M
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-3434
Practice Address - Country:US
Practice Address - Phone:845-782-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV5913-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist