MEDICARE: REBECCA SEIGEL 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	207Q00000X	Family Medicine Physician	210769	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	:	1891802351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SEIGEL MD

Provider Business Mailing Address
First Line	:	300 CADMAN PLZ W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2701
Country	:	US
Telephone Number	:	929-210-6000
Fax Number	:	929-210-6001

Provider Business Practice Location Address
First Line	:	300 CADMAN PLZ W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2701
Country	:	US
Telephone Number	:	929-210-6000
Fax Number	:	929-210-6001

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	01/29/2020

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