DR. MARK R SIEGELHEIM, M.D.
Osteopathic Medicine at Howells Rd, Bayshore, NY

License number
New York 152199
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
200 Howells Rd, Bayshore, NY 11706
Phone
(631) 665-5074
(631) 665-1852 (Fax)
National Provider ID: 1235134602
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MARK R SIEGELHEIM at bizstanding.com

Brightwaters Internal Medicine

200 Howells Rd, Bay Shore, NY 11706

Status:
Inactive
Industry:
Medical Practice, Health/Allied Services
Doing business as:
BRIGHTWATERS INTERNAL MEDICINE, PC<br>BRIGHTWATERS INTERNAL MEDICINE, LLP<br>BRIGHTWATERS INTERNAL MEDICINE, PLLC<br>Brightwaters Internal Medicine - Mark R Siegelheim MD
Inactive reason:
Dissolution
Registration:
Jul 31, 1995
Inactive since:
Jun 25, 1998
Phone:
(631) 665-5074 (Phone)
Description:
Brightwaters Internal Medicine is a Medical Practice company located in 200 Howells Rd, Bay Shore, New York, United States.
State ID:
1943544
Business type:
Domestic Professional Corporation
Internal Medicine, Medical Doctors:
Mark Siegelheim (Internal Medicine, Medical Doctor, Principal),Jose Silvio Leon (Internal Medicine, Medical Doctor)
Agent:
Troy G Blomberg Esq,61 Runyon Pl, Scarsdale, NY 10583 (Physical)
Categories:
Internal Medicine Physicians & Surgeons, Physicians & Surgeons
Products:
Internal Medicine

MARK R. SIEGELHEIM, M.D., PC

200 Howells Rd, Bay Shore, NY 11706

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Mar 13, 1996
Inactive since:
Mar 26, 2003
State ID:
2009591
Business type:
Domestic Professional Corporation
Agent:
Troy G. Blomberg, Esq,61 Runyon Pl, Scarsdale, NY 10583 (Physical)

Professional information

Mark R Siegelheim Photo 1

Dr. Mark R Siegelheim, Bay Shore NY - MD (Doctor of Medicine)
Specialties:
Internal Medicine, Family Medicine
Address:
Brightwaters Internal Medicine
200 Howells Rd STE 2, Bay Shore 11706
(631) 665-5074 (Phone)
Languages:
English, Spanish
Education:
Medical School
Far Eastern University / Dr Nicanor Reyes Medical Foundation Institute of Medicine
Ny Hospital Med Center Of Queens

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