Provider Demographics
NPI:1811069925
Name:RIEGEL, NORMAN (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:RIEGEL
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14916 80TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1116
Mailing Address - Country:US
Mailing Address - Phone:718-845-4844
Mailing Address - Fax:718-845-4641
Practice Address - Street 1:14916 80TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-1116
Practice Address - Country:US
Practice Address - Phone:718-845-4844
Practice Address - Fax:718-845-4641
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138909207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11D481OtherBLUE CROSS BLUE SHIELD
NY0060252OtherGHI
60252Medicare PIN
NY0060252OtherGHI