Provider Demographics
NPI:1174933840
Name:DRESSEKIE, SETH BARRINGTON (NP)
Entity type:Individual
Prefix:MR
First Name:SETH
Middle Name:BARRINGTON
Last Name:DRESSEKIE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:SETH
Other - Middle Name:BARRINGTON
Other - Last Name:DRESSEKIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:21 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-4817
Mailing Address - Country:US
Mailing Address - Phone:718-598-1000
Mailing Address - Fax:
Practice Address - Street 1:21 HARVARD ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-4817
Practice Address - Country:US
Practice Address - Phone:718-598-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY415262163WP0808X
NY401799363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health