1952380206 NPI number — DR. HARVEY L SEIGEL M.D.

Table of content: DR. HARVEY L SEIGEL M.D. (NPI 1952380206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952380206 NPI number — DR. HARVEY L SEIGEL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEIGEL
Provider First Name:
HARVEY
Provider Middle Name:
L
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952380206
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3141 ROUTE 9W
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
NEW WINDSOR
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12553-6709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-565-3030
Provider Business Mailing Address Fax Number:
845-562-3043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3141 ROUTE 9W
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
NEW WINDSOR
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12553-6709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-565-3030
Provider Business Practice Location Address Fax Number:
845-562-3043
Provider Enumeration Date:
01/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  143736 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00852057 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0014450 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P468031 . This is a "OXFORD FREEDOM PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2082 . This is a "SIEBA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10034362 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 187312 . This is a "MVP HEALTHPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 69398358-004 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 200036797 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 29D511 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000016271 . This is a "AFFINITY HEALTHPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 110355800 . This is a "U.S. DEPT. OF LABOR" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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