Provider Demographics
NPI:1811883366
Name:SEIDMAN, PENINA
Entity type:Individual
Prefix:
First Name:PENINA
Middle Name:
Last Name:SEIDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 STUYVESANT OVAL APT 8C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-1913
Mailing Address - Country:US
Mailing Address - Phone:917-539-0214
Mailing Address - Fax:
Practice Address - Street 1:9 STUYVESANT OVAL APT 8C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-1913
Practice Address - Country:US
Practice Address - Phone:917-539-0214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator