Provider Demographics
NPI:1386603488
Name:GENDLER, SETH L (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:L
Last Name:GENDLER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1296 NORTH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2603
Mailing Address - Country:US
Mailing Address - Phone:914-235-0918
Mailing Address - Fax:914-636-2734
Practice Address - Street 1:1296 NORTH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2603
Practice Address - Country:US
Practice Address - Phone:914-235-0918
Practice Address - Fax:914-636-2734
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2014-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY159309207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01008231Medicaid
NY218122Medicare PIN
NY01008231Medicaid