Provider Demographics
NPI:1912013350
Name:DAVID SEINFELD MD PLLC
Entity Type:Organization
Organization Name:DAVID SEINFELD MD PLLC
Other - Org Name:DAVID SEINFELD MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-288-1538
Mailing Address - Street 1:20 EAST 68 STREET
Mailing Address - Street 2:SUITE 214
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5841
Mailing Address - Country:US
Mailing Address - Phone:212-288-1538
Mailing Address - Fax:212-439-1665
Practice Address - Street 1:20 E 68TH ST
Practice Address - Street 2:SUITE 214
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5844
Practice Address - Country:US
Practice Address - Phone:212-288-1538
Practice Address - Fax:212-439-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120894207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNP1391OtherOXFORD
NYWDW691Medicare ID - Type Unspecified
B20367Medicare UPIN