MEDICARE: DR. ROBERT ERROL SIEGEL M.D.

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	149778	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	32556	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508833815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ERROL SIEGEL M.D.

Provider Business Mailing Address
First Line	:	81 CEDAR AVE
Second Line	:
City	:	PLEASANTVILLE
State	:	NY
Zip	:	10570-1932
Country	:	US
Telephone Number	:	914-747-2507
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 W. KINGSBRIDGE ROAD
Second Line	:	JAMES J. PETERS VA MEDICAL CENT
City	:	BRONX
State	:	NY
Zip	:	10468-3904
Country	:	US
Telephone Number	:	718-584-9000
Fax Number	:	718-741-4623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	01/31/2011

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Directions to “ DR. ROBERT ERROL SIEGEL M.D.” Practice Location

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