Individual
JERRY PAUL SIEGELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. RPH
Contact information
Practice address
55 W AMES CT, PLAINVIEW, NY 11803-2304
(516) 938-8080
Mailing address
6321 MARATHON PKWY, LITTLE NECK, NY 11362-2338
(516) 938-8080
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
034939
NY
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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