Individual
HEATHER SIEDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ST AVENUE AND E 16TH STREET, STATION MEDICAL CENTER, NEW YORK, NY 10003-1012
(212) 420-2377
Mailing address
472 CARROLL ST, STATION MEDICAL CENTER, BROOKLYN, NY 11215-1012
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
274494
NY
Other
Enumeration date
06/03/2010
Last updated
06/17/2021
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