Healthcare Provider Details

I. General information

NPI: 1316921661
Provider Name (Legal Business Name): RICHARD EDWARD SEIBERT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1991 MERRICK AVE
MERRICK NY
11566-3145
US

IV. Provider business mailing address

1991 MERRICK AVE
MERRICK NY
11566-3145
US

V. Phone/Fax

Practice location:
  • Phone: 516-867-8585
  • Fax: 516-867-1505
Mailing address:
  • Phone: 516-867-8585
  • Fax: 516-867-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX005003
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberX005003
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: