Provider Demographics
NPI:1548652563
Name:ROBERT SEILER, PH.D. PSYCHOLOGIST ,PC
Entity type:Organization
Organization Name:ROBERT SEILER, PH.D. PSYCHOLOGIST ,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-673-5858
Mailing Address - Street 1:27 BOLAN DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2823
Mailing Address - Country:US
Mailing Address - Phone:631-673-5858
Mailing Address - Fax:631-547-0989
Practice Address - Street 1:27 BOLAN DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2823
Practice Address - Country:US
Practice Address - Phone:631-673-5858
Practice Address - Fax:631-547-0989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008752-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV50301Medicare PIN