Siegel, Jacob

Siegel, Jacob is an individual health care provider with primary practice located at 310 Syosset Woodbury Rd , Woodbury NY 11797-1215. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Siegel, Jacob can be contacted via phone (516) 476-4071.

Contact Information

Primary practice address
310 Syosset Woodbury Rd Woodbury NY 11797-1215
Phone: (516) 476-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 67573 Connecticut

Profile Details

NPI number 1912430638
LBN Legal business name Siegel, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2017
Last updated May 13th, 2021 - about 5 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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