Individual
MITCHELL J. SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
32 MAPLE DRIVE, GREAT NECK, NY 11021-1240
(516) 482-0998
(516) 482-0017
Mailing address
32 MAPLE DRIVE, GREAT NECK, NY 11021-1240
(516) 482-0998
(516) 482-0017
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N2782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00405587
—
NY
01
—
4286910001
DME
—
01
—
P3600840
OXFORD
—
Enumeration date
10/16/2006
Last updated
03/24/2009
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