Provider Demographics
NPI:1295811149
Name:SIEGEL, CARY S (MD)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:S
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 JESSITAR RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-3704
Mailing Address - Country:US
Mailing Address - Phone:917-853-4171
Mailing Address - Fax:718-798-6485
Practice Address - Street 1:5645 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-670-1426
Practice Address - Fax:718-661-7746
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2021-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1683092080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine