| Doctor Name: | DR. MARY SEDAROUS |
| NPI Number: | 1114187465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 25MA09068100 |
| Business Practice Address: | 1944 Corlies Ave # 206 Neptune, NJ - 077534862 |
| Business Phone Number: | 7327748282 |
| Business Fax Number: | |
| Mailing Address: | 525 E 71st St, Belaire 5th Floor NEW YORK |
| State: | NY |
| Postal Code: | 100214828 |
| Phone Number: | 7327748282 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 01/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 25MA09068100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |