Organization
GOLD COAST PODIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY S. SIEGEL DPM (OWNER)
(631) 265-7777
Entity
Organization
Contact information
Practice address
222 E MIDDLE COUNTRY RD STE 200, SMITHTOWN, NY 11787-2814
(631) 265-7777
(631) 265-7778
Mailing address
222 E MIDDLE COUNTRY RD STE 5, SMITHTOWN, NY 11787-2871
(631) 265-7777
(631) 265-7778
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005995
NY
Other
Enumeration date
01/19/2011
Last updated
07/27/2021
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