Provider Demographics
NPI:1730180258
Name:SEMINER, STEVEN J (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:SEMINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-374-3123
Mailing Address - Fax:518-374-9711
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-374-3123
Practice Address - Fax:518-374-9711
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167391-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000405100002OtherBLUE SHIELD NENY
000405100003OtherBLUE SHIELD NENY
040426006656OtherFIDELIS
E83767OtherAMERICAN PROGRESSIVE TODA
NY01207336Medicaid
33570ZOtherFIDELIS MEDICARE
9710945OtherGHI
000000090404OtherGHI HMO
110160500OtherUS DEPT OF LABOR
CAN1673912OtherWORKERS COMP
SS08T61510OtherEMPIRE BLUE CROSS
SS08T61520OtherEMPIRE BLUE CROSS
167391-1OtherTRICARE NORTH REGION
8T615OtherEMPIRE BLUE CROSS
10001853OtherCDPHP
05143OtherMVP
CAN1673912OtherNO FAULT
E83767OtherAMERICAN PROGRESSIVE TODA
10001853OtherCDPHP
050027699Medicare PIN