Individual provider Active NPI

Michael A. Seitz

  • General Practice Dentistry
  • Cornwall on Hudson, NY
National Provider Identifier
1386691590
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032517-1 Issued in NY
Practice address
255 Hudson St
Cornwall on Hudson, NY 12520-1042
Phone
(845) 534-2100
Fax
(845) 534-4507
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032517-1 NY Primary

Addresses

Primary practice location

255 Hudson St
Cornwall on Hudson, NY 12520-1042

Mailing address

PO Box 445
Cornwall on Hudson, NY 12520-0445
Phone (845) 534-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622002316 NY Order and Referring Only - DentistPractitioner - Dentist 8224329248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032517-1NYMDGeneral Practice Dentistry
032517NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386691590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125200445",
            "telephone_number": "845-534-2100",
            "fax_number": "845-534-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HUDSON ST",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201042",
            "telephone_number": "845-534-2100",
            "fax_number": "845-534-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall on Hudson, NY

Sources for this page

Verify at the official NPI Registry.