Organization
58TH STREET MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SIEGEL MD (OWNER)
(718) 431-9870
Entity
Organization
Contact information
Practice address
1153 58TH ST, BROOKLYN, NY 11219-4526
(718) 431-9870
Mailing address
1153 58TH ST, BROOKLYN, NY 11219-4526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
162832
NY
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/13/2011
Last updated
11/09/2011
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