Siegal, Elliot J
Siegal, Elliot J is an individual health care provider with primary practice located at 35 Smith St , Nanuet NY 10954-2914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Siegal, Elliot J can be contacted via phone (845) 623-7100.Contact Information
Primary practice address
35 Smith St
Nanuet NY 10954-2914
Phone: (845) 623-7100
Fax: (845) 673-2844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 106925 | New York |
Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 106925 | New York |
Profile Details
NPI number | 1710051446 |
---|---|
LBN Legal business name | Siegal, Elliot J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1710051446 | NPPES |
New York | MEDICAID | 00515595 |
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