Provider Demographics
NPI:1447215124
Name:SEMEL, LORI JILL (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:JILL
Last Name:SEMEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 ARCADIA PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2503
Mailing Address - Country:US
Mailing Address - Phone:914-771-8341
Mailing Address - Fax:914-771-8344
Practice Address - Street 1:559 GRAMATAN AVE
Practice Address - Street 2:#203
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2155
Practice Address - Country:US
Practice Address - Phone:914-663-0151
Practice Address - Fax:914-663-0154
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY180072208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01252226Medicaid