Siegel, Audra Rochelle

Siegel, Audra Rochelle is an individual health care provider with primary practice located at 696 Dutchess Tpke Ste M , Poughkeepsie NY 12603-6429. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Siegel, Audra Rochelle can be contacted via phone (845) 464-0630.

Contact Information

Primary practice address
696 Dutchess Tpke Ste M Poughkeepsie NY 12603-6429
Phone: (845) 464-0630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 65 006034 New York

Profile Details

NPI number 1538163290
LBN Legal business name Siegel, Audra Rochelle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated May 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538163290 NPPES
Other 1235164997 NPI GROUP ID
Other AS00573K10 NPI GROUP ID
Other 10111279 NPI GROUP ID
Other 200053170 NPI GROUP ID
Other 65 006034 NPI GROUP ID
MEDICAID 02754227 NPI GROUP ID
Other 4148374 NPI GROUP ID

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