Individual
DR. JONATHAN H SIEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1426
Mailing address
325 CHESTNUT DR, ROSLYN, NY 11576-2341
(646) 342-3426
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2390621
NY
Other
Enumeration date
05/11/2007
Last updated
10/13/2021
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