Individual
SANDRA FERNANDO SIEMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1176 MAIN ST, BUFFALO, NY 14209
(716) 881-7900
Mailing address
111 PARK ST, BUFFALO, NY 14201-1526
(716) 408-6906
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
252535
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03214899
—
NY
Enumeration date
05/07/2008
Last updated
03/07/2023
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