Provider Demographics
NPI:1851936553
Name:PACHMAN, SETH
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:PACHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 FLEETWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1751
Mailing Address - Country:US
Mailing Address - Phone:917-565-1280
Mailing Address - Fax:631-693-3321
Practice Address - Street 1:3409 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1930
Practice Address - Country:US
Practice Address - Phone:631-873-8721
Practice Address - Fax:631-693-3321
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045236225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist