Provider Demographics
NPI:1699156968
Name:SEEWALD, SHARI (MSED)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:SEEWALD
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 ARGYLE RD
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1234
Mailing Address - Country:US
Mailing Address - Phone:917-414-0330
Mailing Address - Fax:
Practice Address - Street 1:431 ARGYLE RD
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1234
Practice Address - Country:US
Practice Address - Phone:917-414-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist