Provider Demographics
NPI:1194098921
Name:SEIDLIN, MINDELL (MD)
Entity type:Individual
Prefix:DR
First Name:MINDELL
Middle Name:
Last Name:SEIDLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 W END AVE
Mailing Address - Street 2:8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1723
Mailing Address - Country:US
Mailing Address - Phone:201-779-3283
Mailing Address - Fax:
Practice Address - Street 1:580 W END AVE
Practice Address - Street 2:8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1723
Practice Address - Country:US
Practice Address - Phone:201-779-3283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136643207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease