Provider Demographics
NPI:1700839784
Name:DAVID A.N. SIEGEL, MD PC
Entity Type:Organization
Organization Name:DAVID A.N. SIEGEL, MD PC
Other - Org Name:PAIN MEDICINE & REHABILITATION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:AN
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-493-9600
Mailing Address - Street 1:393 W END AVE
Mailing Address - Street 2:APT 11F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6138
Mailing Address - Country:US
Mailing Address - Phone:646-321-6249
Mailing Address - Fax:917-493-2078
Practice Address - Street 1:271 W 125TH ST
Practice Address - Street 2:STE 211
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4424
Practice Address - Country:US
Practice Address - Phone:917-493-9600
Practice Address - Fax:917-493-2078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2171962081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2799102OtherGHI
NY1000037102OtherAFFINITY HEALTH PLANS
NY4C9164OtherHEALTNET
NYP3611255OtherOXFORD
NY3971993OtherAENTA HMO
NY7982471OtherAETNA PPO
NY9384662OtherPHCS