Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 147509 | NY |
NPI | 1063581874 |
---|---|
Provider Name | Lawrence Jeffrey Sigler |
First Address | Bronxville, NY 10708-2631 |
Second Address | Bronxville, NY 10708-2631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 26/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00981517 | (05) | NY |
B19443 | (02) |