Provider Demographics
NPI:1902911704
Name:ZEIDMAN, SETH MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:MICHAEL
Last Name:ZEIDMAN
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 1:400 RED CREEK DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-7273
Mailing Address - Country:US
Mailing Address - Phone:585-334-5560
Mailing Address - Fax:
Practice Address - Street 1:400 RED CREEK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4273
Practice Address - Country:US
Practice Address - Phone:585-334-5566
Practice Address - Fax:585-334-5581
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213927207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB5705Medicare PIN
NYAA1187Medicare PIN