Individual
MARC SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215
(716) 898-3000
Mailing address
8641 HIGHLAND DR, EDEN, NY 14057-9502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F306570
NY
363LA2200X
Adult Health Nurse Practitioner
F306570-1
NY
Other
Enumeration date
10/01/2013
Last updated
02/10/2021
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