Individual
DR. LOUIS JARED SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
70 E SUNRISE HWY, VALLEY STREAM, NY 11581-1240
(516) 536-5656
Mailing address
244 KENT DR, HEWLETT, NY 11557-1813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
271946
NY
207NP0225X
Pediatric Dermatology Physician
Primary
271946
NY
207Q00000X
Family Medicine Physician
271946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271946
NYS LICENSE
NY
Enumeration date
07/09/2012
Last updated
04/18/2024
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