Provider Demographics
NPI:1447085394
Name:SEIDEL, PINCHAS M (BCBA-LBA)
Entity type:Individual
Prefix:
First Name:PINCHAS
Middle Name:M
Last Name:SEIDEL
Suffix:
Gender:M
Credentials:BCBA-LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 55TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1901
Mailing Address - Country:US
Mailing Address - Phone:917-588-6735
Mailing Address - Fax:
Practice Address - Street 1:5824 12TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5498
Practice Address - Country:US
Practice Address - Phone:718-285-7522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist