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Contact Information

PETER J SIEFKEN, PA
518 MONTAUK HWY
STE 102
AMAGANSETT, NY11930
 Phone: 631-267-5373
 Fax: 631-267-5376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PETER J SIEFKEN · (Male)

NPI Number 1144347261
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/23/2007
Last updated 12/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005732
  • NY Medicaid 02175175
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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