Siegel, Mitchell J.
Siegel, Mitchell J. is an sole proprietor health care provider with primary practice located at 32 Maple Drive , Great Neck NY 11021-1240. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Siegel, Mitchell J. can be contacted via phone (516) 482-0998.Contact Information
Primary practice address
32 Maple Drive
Great Neck NY 11021-1240
Phone: (516) 482-0998
Fax: (516) 482-0017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N2782 | New York |
Profile Details
| NPI number | 1679663918 |
|---|---|
| LBN Legal business name | Siegel, Mitchell J. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Mar 24th, 2009 - about 15 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 | 1679663918 | NPPES |
| New York | MEDICAID | 00405587 | |
| New York | Other | P3600840 | |
| New York | Other | 4286910001 |
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