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Individual

DR. STEPHEN A SIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACC

Contact information

Practice address
245 E 35TH ST, NEW YORK, NY 10016
(212) 684-1108
(212) 686-5645
Mailing address
245 E 35TH ST, NEW YORK, NY 10016
(212) 684-1108
(212) 686-5645

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
143094
NY
207RC0000X
Cardiovascular Disease Physician
Primary
143094
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00824891
NY
Enumeration date
02/10/2006
Last updated
06/10/2021
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