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
Fax: (845) 673-2844
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710051446 NPPES
New York MEDICAID 00515595

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