Siegel, Myron R

Siegel, Myron R is an individual health care provider with primary practice located at 94 Olean St Ste 210, East Aurora NY 14052-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Siegel, Myron R can be contacted via phone (716) 652-0237.

Contact Information

Primary practice address
94 Olean St Ste 210 East Aurora NY 14052-2531
Phone: (716) 652-0237
Fax: (716) 652-0983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 141858 New York

Profile Details

NPI number 1568467090
LBN Legal business name Siegel, Myron R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 15th, 2010 - about 14 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 1568467090 NPPES
New York MEDICAID 00708672

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