Individual
DR. GARY SIEGELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
61-30A 190 ST, FRESH MEADOWS, NY 11365-2720
(718) 454-8484
(718) 454-8910
Mailing address
61-30A 190 ST, FRESH MEADOWS, NY 11365-2720
(718) 454-8484
(718) 454-8910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0043351
NY
Other
Enumeration date
10/17/2006
Last updated
06/02/2008
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