Individual
DR. BONITA HAZEL SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 SAINT JAMES PL, BROOKLYN, NY 11238-2302
(718) 857-2716
(718) 374-5346
Mailing address
210 SAINT JAMES PL, BROOKLYN, NY 11238-2302
(718) 857-2716
(718) 374-5346
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD051622L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001719257
—
PA
Enumeration date
06/29/2006
Last updated
04/07/2011
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