Individual
DR. MARK IRA SIEGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 GRAMERCY PARK N, GROUND FLOOR, NEW YORK, NY 10010-5423
(212) 254-6387
(212) 674-1933
Mailing address
60 GRAMERCY PARK N, GROUND FLOOR, NEW YORK, NY 10010-5423
(212) 254-6387
(212) 674-1933
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
131654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00715857
—
NY
Enumeration date
02/14/2006
Last updated
07/08/2007
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