Provider Demographics
NPI:1457370058
Name:REIFFEL, ROBERT SISKIND (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SISKIND
Last Name:REIFFEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12 GREENRIDGE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1238
Mailing Address - Country:US
Mailing Address - Phone:914-683-1400
Mailing Address - Fax:914-683-0144
Practice Address - Street 1:12 GREENRIDGE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1238
Practice Address - Country:US
Practice Address - Phone:914-683-1400
Practice Address - Fax:914-683-0144
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2016-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1167552082S0105X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1174994149OtherGRP NPI
NY20A961Medicare UPIN
NY6067240001Medicare NSC