National Provider Identifier
Myron R Siegel, MD
Myron R Siegel, MD is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in East Aurora, NY and a listed phone number of (716) 652-0237.
Profile Overview
- NPI
- 1568467090
- Provider Type
- Individual
- Primary Specialty
- Pediatric Adolescent Medicine Physician
- Enumeration Date
- June 21, 2005
- Last Updated
- July 15, 2010
Practice Location
- 94 Olean St
- Ste 210
- East Aurora, NY 14052-2531
Phone: (716) 652-0237
Specialties
- Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
- NPI
- 1568467090
- Entity Type
- Individual
- Last Name
- Siegel
- First Name
- Myron
- Middle Name
- R
- Credential
- MD
- Mailing Street Address
- 94 Olean St
- Mailing Address Line 2
- Ste 210
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-2531
- Mailing Country
- US
- Mailing Phone
- (716) 652-0237
- Mailing Fax
- (716) 652-0983
- Practice Street Address
- 94 Olean St
- Practice Address Line 2
- Ste 210
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-2531
- Practice Country
- US
- Practice Phone
- (716) 652-0237
- Practice Fax
- (716) 652-0983
- Enumeration Date
- June 21, 2005
- Last Updated
- July 15, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Adolescent Medicine Physician (2080A0000X)
- Other Identifiers
- 00708672 (NY)