Individual
EVAN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
49 FOREST RD, KIRYAS JOEL, NY 10950-2923
(516) 429-2222
Mailing address
49 FOREST RD, KIRYAS JOEL, NY 10950-2923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061069
NY
Other
Enumeration date
03/04/2019
Last updated
10/09/2024
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