Individual
DR. LORETTA MARY SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
154 FOREST AVE, GLEN COVE, NY 11542
(516) 801-1129
(516) 759-1509
Mailing address
154 FOREST AVE, GLEN COVE, NY 11542
(516) 801-1129
(516) 759-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1761951
NY
Other
Enumeration date
02/08/2006
Last updated
09/28/2010
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