Individual
DR. DEBORAH ROSE-SIEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O,D.
Contact information
Practice address
1850 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1513
(631) 851-1564
(631) 851-1688
Mailing address
20 PRINCETON DR, DIX HILLS, NY 11746-4826
(631) 486-3046
(516) 364-7417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01582705
—
NY
01
—
0165096
GHI
NY
05
—
01712087
—
NY
01
—
2420859
UNITED HEALTHCARE
NY
01
—
2468499
AETNA
NY
01
—
7499145
AETNA
NY
01
—
P770635
OXFORD
NY
Enumeration date
06/09/2006
Last updated
10/19/2022
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