Provider Demographics
NPI:1649218504
Name:SIGELMAN, ARTHUR W (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:W
Last Name:SIGELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6624
Mailing Address - Country:US
Mailing Address - Phone:718-761-2500
Mailing Address - Fax:718-761-2437
Practice Address - Street 1:2242 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6624
Practice Address - Country:US
Practice Address - Phone:718-761-2500
Practice Address - Fax:718-761-2437
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112916207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY96528Medicare ID - Type Unspecified
NYB20528Medicare UPIN