Organization
BRIGHTWATERS INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SIEGELHEIM M.D. (PHYSICIAN)
(631) 665-5074
Entity
Organization
Contact information
Practice address
200 HOWELLS RD, BAY SHORE, NY 11706-5300
(631) 665-5074
(631) 665-1852
Mailing address
200 HOWELLS RD, BAY SHORE, NY 11706-5300
(631) 665-5074
(631) 665-1852
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
152199
NY
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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