National Provider Identifier

Earlene Catherine Siebold, MD

Earlene Catherine Siebold, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Rochester, NY and a listed phone number of (585) 244-5630.

NPI 1134101157Rochester, NYOphthalmology Physician

Profile Overview

NPI
1134101157
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
November 16, 2005
Last Updated
June 28, 2024

Practice Location

  • 880 Westfall RD
  • Suite A
  • Rochester, NY 14618-2611

Phone: (585) 244-5630

Mailing Address

  • 880 Westfall RD Ste A
  • Rochester, NY 14618-2611

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1134101157
Entity Type
Individual
Last Name
Siebold
First Name
Earlene
Middle Name
Catherine
Name Prefix
Dr.
Credential
MD
Mailing Street Address
880 Westfall RD Ste A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2611
Mailing Country
US
Mailing Phone
(585) 244-5630
Mailing Fax
(585) 434-4915
Practice Street Address
880 Westfall RD
Practice Address Line 2
Suite A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2611
Practice Country
US
Practice Phone
(585) 244-5630
Practice Fax
(585) 434-4915
Enumeration Date
November 16, 2005
Last Updated
June 28, 2024
Sex
Female
Sole Proprietor
No
Certification Date
June 28, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)
Other Identifiers
01093163 (NY)