Provider Demographics
NPI:1285965319
Name:SEAVIEW PSYCHIATRIC ASSOCIATES
Entity type:Organization
Organization Name:SEAVIEW PSYCHIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BREVING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-351-8100
Mailing Address - Street 1:500 SEAVIEW AVE
Mailing Address - Street 2:STE. 200
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3403
Mailing Address - Country:US
Mailing Address - Phone:718-351-8100
Mailing Address - Fax:718-351-4560
Practice Address - Street 1:500 SEAVIEW AVE
Practice Address - Street 2:STE. 200
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3403
Practice Address - Country:US
Practice Address - Phone:718-351-8100
Practice Address - Fax:718-351-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2444532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1275742181Medicaid
NY1275742181Medicaid
NY1275742181Medicare PIN
NY1275742181Medicare NSC