Provider Demographics
NPI:1982829859
Name:SEEMA RIZVI PHYSICIAN PC
Entity Type:Organization
Organization Name:SEEMA RIZVI PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:SAMI
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-440-7455
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0426
Mailing Address - Country:US
Mailing Address - Phone:845-440-7455
Mailing Address - Fax:
Practice Address - Street 1:1491 ROUTE 52
Practice Address - Street 2:SUITE 48
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1634
Practice Address - Country:US
Practice Address - Phone:845-440-7455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG80402Medicare UPIN