Individual
DR. EARLENE CATHERINE SIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 WESTFALL RD, SUITE A, ROCHESTER, NY 14618-2611
(585) 244-5630
(585) 434-4915
Mailing address
880 WESTFALL RD STE A, ROCHESTER, NY 14618-2611
(585) 244-5630
(585) 434-4915
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1562872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01093163
—
NY
Enumeration date
11/16/2005
Last updated
06/28/2024
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