Provider Demographics
NPI:1548538218
Name:SEITZ, ANNE MARIE
Entity type:Individual
Prefix:MRS
First Name:ANNE MARIE
Middle Name:
Last Name:SEITZ
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 1:26 WIRELESS ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-3004
Mailing Address - Country:US
Mailing Address - Phone:631-324-1531
Mailing Address - Fax:
Practice Address - Street 1:26 WIRELESS ROAD
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-3004
Practice Address - Country:US
Practice Address - Phone:631-324-1531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist