Individual
MYRON R SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 OLEAN ST, STE 210, EAST AURORA, NY 14052-2531
(716) 652-0237
(716) 652-0983
Mailing address
94 OLEAN ST, STE 210, EAST AURORA, NY 14052-2531
(716) 652-0237
(716) 652-0983
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
141858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708672
—
NY
Enumeration date
06/21/2005
Last updated
07/15/2010
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