Individual
MARYELLEN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 ROUTE 55, LAGRANGEVILLE, NY 12540-5021
(845) 486-4860
Mailing address
41 CLOVER HILL DR, POUGHKEEPSIE, NY 12603-3201
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
351696
NY
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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