Basic Information
Provider Information
NPI: 1215090469
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEWARD
FirstName: SAMUEL
MiddleName: LIVINGSTON
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 E 42ND ST
Address2: 10TH FLOOR
City: NEW YORK
State: NY
PostalCode: 100175612
CountryCode: US
TelephoneNumber: 6466058186
FaxNumber:  
Practice Location
Address1: 425 W 59TH ST
Address2: HEALTH SERVICES AT COLUMBIA UNIVERSITY
City: NEW YORK
State: NY
PostalCode: 100198022
CountryCode: US
TelephoneNumber: 2124925500
FaxNumber: 2124925505
Other Information
ProviderEnumerationDate: 12/19/2006
LastUpdateDate: 05/23/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X206332NYY Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000X206332NYN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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