Individual
JAY ANDREW SIEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3990 NESCONSETT HWY, SOUTH SETAUKET, NY 11733
(631) 474-3805
(631) 474-3815
Mailing address
6 DAVIS ST, MELVILLE, NY 11747-1403
(631) 549-1647
(631) 474-3815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T-005486-1
NY
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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