Provider Demographics
NPI:1063581874
Name:SIGLER, LAWRENCE JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:JEFFREY
Last Name:SIGLER
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 1:18 STUDIO ARCADE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2631
Mailing Address - Country:US
Mailing Address - Phone:914-337-8505
Mailing Address - Fax:914-337-8508
Practice Address - Street 1:18 STUDIO ARC
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2631
Practice Address - Country:US
Practice Address - Phone:914-337-8505
Practice Address - Fax:914-337-8508
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147509208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00981517Medicaid
NY00981517Medicaid
81D161Medicare ID - Type Unspecified