Individual
JACK ALAN ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 W TAFT RD, SUITE 4A, LIVERPOOL, NY 13088
(315) 458-2211
(315) 452-9025
Mailing address
5100 W TAFT RD, SUITE 4A, LIVERPOOL, NY 13088
(315) 458-2211
(315) 452-9025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
169828
NY
208C00000X
Colon & Rectal Surgery Physician
169828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01217707
—
NY
Enumeration date
08/29/2006
Last updated
09/11/2025
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