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NPI Code Detail

MEDICARE: DR. RICHARD M SIEGEL MD

MEDICARE: DR. RICHARD M SIEGEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology PhysicianMD056773LPA

General Provider Information

NPI Number : 1205589066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD M SIEGEL MD
Provider Business Mailing Address
First Line : 380 RIVERSIDE DR
Second Line :
City : NEW YORK
State : NY
Zip : 10025-1858
Country : US
Telephone Number : 212-864-4328
Fax Number :
Provider Business Practice Location Address
First Line : 380 RIVERSIDE DR
Second Line :
City : NEW YORK
State : NY
Zip : 10025-1858
Country : US
Telephone Number : 212-864-4328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

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