Provider Demographics
NPI:1649338898
Name:SIEGEL, MARC K (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:K
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:251 E 33RD ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4804
Mailing Address - Country:US
Mailing Address - Phone:212-532-1214
Mailing Address - Fax:917-580-6200
Practice Address - Street 1:251 E 33RD ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4804
Practice Address - Country:US
Practice Address - Phone:212-532-1214
Practice Address - Fax:917-580-6200
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY168546207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18F501Medicare ID - Type Unspecified
D92093Medicare UPIN