Provider Demographics
NPI:1760566640
Name:SEIF, YEHUDA A (MD)
Entity Type:Individual
Prefix:DR
First Name:YEHUDA
Middle Name:A
Last Name:SEIF
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 1:212 PENN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-8322
Mailing Address - Country:US
Mailing Address - Phone:718-384-1385
Mailing Address - Fax:718-596-6498
Practice Address - Street 1:212 PENN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-8322
Practice Address - Country:US
Practice Address - Phone:718-384-1385
Practice Address - Fax:718-596-6498
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211668208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02061205Medicaid