| Doctor Name: | PETER J SIEFKEN |
| NPI Number: | 1144347261 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 005732 |
| Business Practice Address: | 230 W Main St Riverhead, NY - 119012841 |
| Business Phone Number: | 6313697287 |
| Business Fax Number: | 6313695244 |
| Mailing Address: | Po Box 1025, HAMPTON BAYS |
| State: | NY |
| Postal Code: | 119460401 |
| Phone Number: | 6313697287 |
| Fax Number: | 6313695244 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 005732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |