Provider Demographics
NPI:1902220601
Name:SEEMA RAI MD PC
Entity Type:Organization
Organization Name:SEEMA RAI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:631-271-9151
Mailing Address - Street 1:135 POST AVE
Mailing Address - Street 2:APT 4E
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3147
Mailing Address - Country:US
Mailing Address - Phone:516-417-4698
Mailing Address - Fax:
Practice Address - Street 1:135 POST AVE
Practice Address - Street 2:APT 4E
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3147
Practice Address - Country:US
Practice Address - Phone:516-417-4698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-16
Last Update Date:2014-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249192207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY249182OtherLICENSE