Organization
DISCOVER PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BARRY SIEGEL D.P.M. (OWNER/CEO)
(631) 206-3106
Entity
Organization
Contact information
Practice address
2111 UNION BLVD, BAY SHORE, NY 11706-8017
(631) 206-3106
(631) 206-3108
Mailing address
21 STACEY LN, SMITHTOWN, NY 11787-2354
(631) 206-3106
(631) 206-3108
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
005107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01688884
—
NY
Enumeration date
11/07/2007
Last updated
11/07/2007
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