Provider Demographics
NPI:1851339642
Name:SIEGEL, STEVEN SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SCOTT
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14427 72ND DR
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2403
Mailing Address - Country:US
Mailing Address - Phone:718-263-1139
Mailing Address - Fax:718-263-2775
Practice Address - Street 1:2800 MARCUS AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-1008
Practice Address - Country:US
Practice Address - Phone:516-603-5066
Practice Address - Fax:718-263-2775
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005166213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3C1183OtherHEALTHNET
NY59221POtherHIP
NYN005166-A27OtherHEALTHFIRST
NY1443148OtherUNITED HEALTHCARE
NYBK00317OtherAMERICHOICE
NYP514735OtherOXFORD
NY2473173003OtherCIGNA PPO
NYP51831OtherEMPIRE BLUE CROSS
NY1727874OtherFIRST HEALTH
NY01714350Medicaid
NY2473173003OtherCIGNA HMO
NY6201338OtherGHI
NYP07481OtherEMPIRE SENIOR PLAN
NYP07481OtherEMPIRE SENIOR PLAN
NY01714350Medicaid