Individual
DR. ALAN SIEDLECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
779 GOLF DR, VALLEY STREAM, NY 11581
(516) 791-0145
Mailing address
779 GOLF DR, VALLEY STREAM, NY 11581
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
216691
NY
208000000X
Pediatrics Physician
216691
NY
Other
Enumeration date
09/25/2005
Last updated
05/28/2014
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