Individual
EDWARD RIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 434-1728
Mailing address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 434-1728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079354
GHI PPO
NY
01
—
00090924
AETNA HMO
NY
01
—
0051976
GHI PPO
NY
05
—
00888399
—
NY
01
—
112355523
UNITED HEALTHCARE
NY
01
—
15049101
SUFFOLK HEALTH PLAN
NY
01
—
150491S
HEALTHCARE PARTNERS
NY
01
—
27684P
HIP
NY
01
—
41D812
B/C B/S
NY
01
—
4211247
AETNA PPO
NY
01
—
5497240
CIGNA
NY
01
—
CS1009
OXFORD
NY
01
—
OC1414
HEALTHNET
NY
Enumeration date
09/20/2006
Last updated
12/02/2010
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