Siegel, Lance M

Siegel, Lance M is an individual health care provider with primary practice located at 70 Hatfield Ln Ste 204, Goshen NY 10924-6735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Siegel, Lance M can be contacted via phone (845) 291-1260.

Contact Information

Primary practice address
70 Hatfield Ln Ste 204 Goshen NY 10924-6735
Fax: (845) 294-2312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 179415 New York

Profile Details

NPI number 1184622672
LBN Legal business name Siegel, Lance M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Sep 27th, 2012 - about 12 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 1184622672 NPPES
Other 95H321L663 MEDICARE
MEDICAID 01433861 MEDICARE

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