Individual
DANA B SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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
213E00000X
Podiatrist
Primary
N005107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01688884
—
NY
Enumeration date
08/10/2005
Last updated
12/26/2012
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