Siems, Edward
Siems, Edward is an sole proprietor health care provider with primary practice located at 176 N Village Ave Suite 2D, Rockville Centre NY 11570-3800. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Siems, Edward can be contacted via phone (516) 764-2115.Contact Information
Primary practice address
176 N Village Ave Suite 2D
Rockville Centre NY 11570-3800
Phone: (516) 764-2115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 170839 | New York |
Profile Details
| NPI number | 1467514497 |
|---|---|
| LBN Legal business name | Siems, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467514497 | NPPES |
| New York | MEDICAID | 1177664 |
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