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2001 Marcus Avenue, Lake Success, NY 11042 | |
(516) 355-2277 | |
(516) 626-9243 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 2001 Marcus Avenue, Lake Success, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912276643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | N002371-1 (New York) | Primary |
Provider Name | Marc A Brenner |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093899734 PECOS PAC ID: 7810066768 Enrollment ID: I20080519000051 |
Mailing Address | Practice Location Address |
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83 Wheatley Rd, Old Westbury, NY 11568-1210 Ph: (516) 355-2277 | 2001 Marcus Avenue, Lake Success, NY 11042 Ph: (516) 355-2277 |
Dr. Steven Scott Siegel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2800 Marcus Ave, Suite 203, Lake Success, NY 11042 Phone: 516-603-5066 Fax: 718-263-2775 |