MEDICARE: DR. LORI JILL SEMEL 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	208000000X	Pediatrics Physician	180072	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	:	1447215124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI JILL SEMEL MD

Provider Business Mailing Address
First Line	:	20 ARCADIA PL
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-2503
Country	:	US
Telephone Number	:	914-771-8341
Fax Number	:	914-771-8344

Provider Business Practice Location Address
First Line	:	559 GRAMATAN AVE
Second Line	:	#203
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-2155
Country	:	US
Telephone Number	:	914-663-0151
Fax Number	:	914-663-0154

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/09/2007

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