MEDICARE: ADAM B SEMEGRAN 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
1	208600000X	Surgery Physician	207654	NY

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

General Provider Information

NPI Number	:	1811978406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM B SEMEGRAN MD

Provider Business Mailing Address
First Line	:	110 S BEDFORD RD
Second Line	:	CAREMOUNT MEDICAL PC
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3446
Country	:	US
Telephone Number	:	914-241-1050
Fax Number	:	914-242-1516

Provider Business Practice Location Address
First Line	:	672 STONELEIGH AVE
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-4634
Country	:	US
Telephone Number	:	845-279-2000
Fax Number	:	845-278-8986

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	11/22/2016

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