Black, Seth Martin
Black, Seth Martin is an sole proprietor health care provider with primary practice located at 2 Dongan Way , East Hampton NY 11937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Black, Seth Martin can be contacted via phone (917) 301-8675.Contact Information
Primary practice address
2 Dongan Way
East Hampton NY 11937
Phone: (917) 301-8675
Fax: (212) 755-5572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 033118 | New York |
Profile Details
| NPI number | 1093707036 |
|---|---|
| LBN Legal business name | Black, Seth Martin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093707036 | NPPES |
| New York | MEDICAID | 00707135 |
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