Jacob Siegel, MD Valid NPI
Individual provider · Dermatology Physician · Woodbury, NY
- NPI
- 1912430638
- Type
- Individual (Type 1)
- Primary specialty
- Dermatology Physician (Dermatology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207N00000X
- License number
- 67573 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-04-10
- Last updated
- 2021-05-13
Practice location
310 Syosset Woodbury Rd
Woodbury, NY 11797-1215
(516) 476-4071