Provider Demographics
NPI:1225212640
Name:CHAIM SIEGER
Entity Type:Organization
Organization Name:CHAIM SIEGER
Other - Org Name:REGEIS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-320-3700
Mailing Address - Street 1:3200 BAYCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1513
Mailing Address - Country:US
Mailing Address - Phone:718-320-3700
Mailing Address - Fax:718-671-2554
Practice Address - Street 1:3200 BAYCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1513
Practice Address - Country:US
Practice Address - Phone:718-320-3700
Practice Address - Fax:718-671-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02691629343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00315031Medicaid
NY=========Medicare Oscar/Certification