| Doctor Name: | MR. JAMES A SEITZ |
| NPI Number: | 1144521394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 075587 |
| Business Practice Address: | 17 Bergen Pl Port Jefferson Station, NY - 117761201 |
| Business Phone Number: | 6317210670 |
| Business Fax Number: | |
| Mailing Address: | 17 Bergen Pl, PORT JEFFERSON STATION |
| State: | NY |
| Postal Code: | 117761201 |
| Phone Number: | 6317210670 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2010 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 075587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |