Organization
FAMILY MEDICAL CARE OF GLEN COVE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA MARY SIEGEL M.D. (DOCTOR)
(516) 801-1129
Entity
Organization
Contact information
Practice address
154 FOREST AVE, GLEN COVE, NY 11542-2023
(516) 801-1129
(516) 759-1509
Mailing address
154 FOREST AVE, GLEN COVE, NY 11542-2023
(516) 801-1129
(516) 759-1509
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
176195
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01140147
—
NY
Enumeration date
08/21/2006
Last updated
06/13/2013
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