Individual
GREGORY VETRANO SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
6043 MADISON ST, FLUSHING, NY 11385-3943
(914) 319-8169
Mailing address
6043 MADISON ST, FLUSHING, NY 11385-3943
(914) 319-8169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405005
NY
Other
Enumeration date
12/02/2021
Last updated
07/12/2023
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