Siegel, Dana B
Siegel, Dana B is an sole proprietor health care provider with primary practice located at 2111 Union Blvd , Bay Shore NY 11706-8017. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Siegel, Dana B can be contacted via phone (631) 206-3106.Contact Information
Primary practice address
2111 Union Blvd
Bay Shore NY 11706-8017
Phone: (631) 206-3106
Fax: (631) 206-3108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005107 | New York |
Profile Details
| NPI number | 1821099904 |
|---|---|
| LBN Legal business name | Siegel, Dana B |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Dec 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821099904 | NPPES |
| New York | MEDICAID | 01688884 |
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