Siegel, Scott A
Siegel, Scott A is an individual health care provider with primary practice located at 510 Broadhollow Rd Suite 130, Melville NY 11747-3671. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Siegel, Scott A can be contacted via phone (631) 465-0300.Contact Information
Primary practice address
510 Broadhollow Rd Suite 130
Melville NY 11747-3671
Phone: (631) 465-0300
Fax: (631) 271-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 045923 | New York |
Profile Details
| NPI number | 1841251956 |
|---|---|
| LBN Legal business name | Siegel, Scott A |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jan 11th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841251956 | NPPES |
| New York | MEDICAID | 02145962 |
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