Provider Demographics
NPI:1336166065
Name:SEELAND, IRENE B (MD)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:B
Last Name:SEELAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:20-01 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1523
Mailing Address - Country:US
Mailing Address - Phone:201-791-8088
Mailing Address - Fax:201-791-2202
Practice Address - Street 1:ROUTE 209
Practice Address - Street 2:ELLENVILLE REGIONAL HOSPITAL
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428
Practice Address - Country:US
Practice Address - Phone:845-647-6400
Practice Address - Fax:845-647-6450
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-11-24
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Provider Licenses
StateLicense IDTaxonomies
NY1031142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY502181Medicare PIN
B25601Medicare UPIN