Siegelbaum, Gary

Siegelbaum, Gary is an individual health care provider with primary practice located at 61-30A 190 St , Fresh Meadows NY 11365-2720. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siegelbaum, Gary can be contacted via phone (718) 454-8484.

Contact Information

Primary practice address
61-30A 190 St Fresh Meadows NY 11365-2720
Phone: (718) 454-8484
Fax: (718) 454-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV0043351 New York

Profile Details

NPI number 1144301474
LBN Legal business name Siegelbaum, Gary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 2nd, 2008 - about 16 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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