Siegel, Scott A

Siegel, Scott A is an individual health care provider with primary practice located at 510 Broadhollow Rd Suite 130, Melville NY 11747-3671. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Siegel, Scott A can be contacted via phone (631) 465-0300.

Contact Information

Primary practice address
510 Broadhollow Rd Suite 130 Melville NY 11747-3671
Phone: (631) 465-0300
Fax: (631) 271-1593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 045923 New York

Profile Details

NPI number 1841251956
LBN Legal business name Siegel, Scott A
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jan 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841251956 NPPES
New York MEDICAID 02145962

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