Provider Demographics
NPI:1699882886
Name:FIELDING, SETH DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:DAVID
Last Name:FIELDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 WEST END AV
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-956-9670
Mailing Address - Fax:212-799-5043
Practice Address - Street 1:240 CENTRAL PARK SOUTH #2P
Practice Address - Street 2:
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-956-9670
Practice Address - Fax:212-799-5043
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1044142084P0800X
NJMA0623672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00181475040Medicaid
NY00181475040Medicaid
B18696Medicare UPIN