MEDICARE: DR. ARTHUR W SIGELMAN 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	207Q00000X	Family Medicine Physician	112916	NY

General Provider Information

NPI Number	:	1649218504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR W SIGELMAN M.D.

Provider Business Mailing Address
First Line	:	2242 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-6624
Country	:	US
Telephone Number	:	718-761-2500
Fax Number	:	718-761-2437

Provider Business Practice Location Address
First Line	:	2242 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-6624
Country	:	US
Telephone Number	:	718-761-2500
Fax Number	:	718-761-2437

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	10/08/2010

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