Provider Demographics
NPI:1003012386
Name:DR. NORMAN SVEILICH
Entity Type:Organization
Organization Name:DR. NORMAN SVEILICH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SVEILICH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-835-6003
Mailing Address - Street 1:14930 88TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1438
Mailing Address - Country:US
Mailing Address - Phone:718-835-6003
Mailing Address - Fax:718-845-0776
Practice Address - Street 1:14930 88TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-1438
Practice Address - Country:US
Practice Address - Phone:718-835-6003
Practice Address - Fax:718-845-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105187-9207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB16192Medicare UPIN
NY40762Medicare ID - Type Unspecified
NY5831040001Medicare NSC