In 2023, among providers in related specialties within New York, Dr. Lance M. Siegel, MD performed more blood glucose reagent strip test, colonoscopy, colonoscopy with biopsy, colonoscopy with lesion removal, EGD with biopsy, EGD with lesion removal, endoscopy, gastrointestinal biopsy, gastrointestinal procedures, and removal of lesion (e.g. growth) procedures for Medicare patients than 95% of them and he also had a list price for bilirubin test, and blood glucose reagent strip test that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

hospital care

inpatient care

inpatient hospital care

liver function tests

In 2023, Dr. Lance M. Siegel, MD had a list price for hospital care, inpatient care, inpatient hospital care (for patient admitted to hospital), and liver function tests (LFTs) that was lower than the list prices billed to Medicare by 90% of providers in related specialties within New York. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

esophageal balloon dilation

inpatient hospital care

lab tests

preventive care

screening colonoscopy

By Affordability:

folic acid tests

serum folate test

In 2012, among providers in related specialties within New York, Dr. Lance M. Siegel, MD performed more esophageal balloon dilation, inpatient hospital care (for patient admitted to hospital), lab tests, preventive care, and screening colonoscopy procedures for Medicare patients than 75% of them and he also had a list price for folic acid tests, and serum folate test that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2012 were gastrointestinal procedures, minimally invasive procedures, inpatient care and hospital care.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	28
blood draw	38
diagnostic procedures	676
doctor visit	828
esophageal dilation	28
foreign body removal	15
gastrointestinal procedures	887
hospital care	731
inpatient care	731
lab tests	392
minimally invasive procedures	887
preventive care	75
removal of lesion (e.g. growth)	676
stent placement (stenting)	22
thyroid function tests	44

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2013 were gastrointestinal procedures, minimally invasive procedures, inpatient care and hospital care.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	30
blood draw	60
diagnostic procedures	609
doctor visit	871
esophageal dilation	30
gastrointestinal procedures	772
hospital care	641
inpatient care	641
lab tests	333
minimally invasive procedures	772
preventive care	56
removal of lesion (e.g. growth)	609
stent placement (stenting)	15
thyroid function tests	42

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	438
Female	564

**Ethnicity**
Non-Hispanic White	904
Black	36
Hispanic	39
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	442
From 75 to 84	257
85 and over	137
Less than 65	166

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2013

Hypertension	75
High Cholesterol	67
Stroke	6
Ischemic Heart Disease	48
Depression	21
Chronic Kidney Disease	31
Asthma	14
Osteoperosis	9
Atrial Fibrilation	17
Heart Failure	27
Chronic Obstructive Pulmonary Disease	28
Diabetes	37
Dementia	12
Cancer	15

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2014 were minimally invasive procedures, gastrointestinal procedures, lab tests and removal of lesion (e.g. growth).

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	23
blood draw	122
diagnostic procedures	603
doctor visit	845
esophageal dilation	23
gastrointestinal procedures	719
hospital care	588
inpatient care	588
lab tests	623
minimally invasive procedures	719
preventive care	64
removal of lesion (e.g. growth)	603
thyroid function tests	50

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	430
Female	568

**Ethnicity**
Non-Hispanic White	897
Black	34
Hispanic	41
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	452
From 75 to 84	255
85 and over	145
Less than 65	146

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2014

Hypertension	73
High Cholesterol	67
Stroke	7
Ischemic Heart Disease	47
Depression	20
Chronic Kidney Disease	32
Asthma	16
Osteoperosis	9
Atrial Fibrilation	16
Heart Failure	28
Chronic Obstructive Pulmonary Disease	24
Diabetes	36
Dementia	11
Cancer	15

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2015 were inpatient care, hospital care, gastrointestinal procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	16
blood draw	81
diabetes management	13
diagnostic procedures	637
doctor visit	843
esophageal dilation	16
gastrointestinal procedures	777
hospital care	872
inpatient care	872
lab tests	364
minimally invasive procedures	777
preventive care	72
removal of lesion (e.g. growth)	637
thyroid function tests	31

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	922
Female	1244

**Ethnicity**
Non-Hispanic White	1950
Black	60
Hispanic	84
Asian	0
Other	48
Native American	0

**Age**
From 65 to 74	952
From 75 to 84	576
85 and over	342
Less than 65	296

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2015

Hypertension	75
High Cholesterol	70
Stroke	8
Ischemic Heart Disease	48
Depression	24
Chronic Kidney Disease	38
Asthma	24
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	30
Chronic Obstructive Pulmonary Disease	29
Diabetes	39
Dementia	15
Cancer	15

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2016 were minimally invasive procedures, gastrointestinal procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	26
blood draw	196
diagnostic procedures	780
doctor visit	1050
esophageal dilation	26
gastrointestinal procedures	889
hospital care	780
inpatient care	780
lab tests	657
minimally invasive procedures	889
preventive care	68
removal of lesion (e.g. growth)	769
thyroid function tests	36

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	499
Female	685

**Ethnicity**
Non-Hispanic White	1038
Black	49
Hispanic	55
Asian	12
Other	30
Native American	0

**Age**
From 65 to 74	552
From 75 to 84	308
85 and over	151
Less than 65	173

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2016

Hypertension	74
High Cholesterol	69
Stroke	7
Ischemic Heart Disease	44
Depression	20
Chronic Kidney Disease	38
Asthma	31
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	23
Chronic Obstructive Pulmonary Disease	27
Diabetes	36
Dementia	13
Cancer	15

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2017 were gastrointestinal procedures, minimally invasive procedures, diagnostic procedures and removal of lesion (e.g. growth).

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	16
blood draw	237
diabetes management	12
diagnostic procedures	786
doctor visit	1016
esophageal dilation	16
gastrointestinal procedures	867
hospital care	573
inpatient care	573
lab tests	735
minimally invasive procedures	867
preventive care	60
removal of lesion (e.g. growth)	768
thyroid function tests	45

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	481
Female	668

**Ethnicity**
Non-Hispanic White	1032
Black	35
Hispanic	41
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	522
From 75 to 84	344
85 and over	141
Less than 65	142

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2017

Hypertension	72
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	43
Depression	22
Chronic Kidney Disease	35
Asthma	15
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	21
Chronic Obstructive Pulmonary Disease	24
Diabetes	35
Dementia	13
Cancer	14

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2018 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	19
blood draw	186
diagnostic procedures	801
doctor visit	1120
esophageal dilation	19
gastrointestinal procedures	894
hospital care	491
inpatient care	491
lab tests	560
minimally invasive procedures	894
preventive care	69
removal of lesion (e.g. growth)	801
thyroid function tests	18

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	510
Female	673

**Ethnicity**
Non-Hispanic White	1053
Black	28
Hispanic	46
Asian	0
Other	40
Native American	0

**Age**
From 65 to 74	576
From 75 to 84	342
85 and over	125
Less than 65	140

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2018

Hypertension	72
High Cholesterol	73
Stroke	5
Ischemic Heart Disease	42
Depression	21
Chronic Kidney Disease	34
Asthma	15
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	20
Chronic Obstructive Pulmonary Disease	22
Diabetes	33
Dementia	10
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2019 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	23
blood draw	151
diagnostic procedures	887
doctor visit	1151
esophageal dilation	23
gastrointestinal procedures	935
hospital care	358
inpatient care	358
lab tests	464
minimally invasive procedures	935
preventive care	38
removal of lesion (e.g. growth)	887
thyroid function tests	13

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	464
Female	682

**Ethnicity**
Non-Hispanic White	1019
Black	30
Hispanic	42
Asian	0
Other	41
Native American	0

**Age**
From 65 to 74	563
From 75 to 84	338
85 and over	113
Less than 65	132

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2019

Hypertension	71
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	44
Depression	20
Chronic Kidney Disease	33
Asthma	15
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	19
Chronic Obstructive Pulmonary Disease	20
Diabetes	32
Dementia	10
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2020 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	16
blood draw	98
diagnostic procedures	701
doctor visit	1010
esophageal dilation	16
gastrointestinal procedures	753
hospital care	342
inpatient care	342
lab tests	379
minimally invasive procedures	753
preventive care	51
removal of lesion (e.g. growth)	701
thyroid function tests	34

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	459
Female	587

**Ethnicity**
Non-Hispanic White	944
Black	0
Hispanic	33
Asian	0
Other	37
Native American	0

**Age**
From 65 to 74	522
From 75 to 84	315
85 and over	91
Less than 65	118

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2020

Hypertension	71
High Cholesterol	74
Stroke	5
Ischemic Heart Disease	42
Depression	19
Chronic Kidney Disease	35
Asthma	14
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	18
Chronic Obstructive Pulmonary Disease	17
Diabetes	31
Dementia	9
Cancer	12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2021 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	40
blood draw	105
diagnostic procedures	935
doctor visit	1320
esophageal dilation	40
gastrointestinal procedures	1024
hospital care	417
inpatient care	417
lab tests	456
minimally invasive procedures	1024
preventive care	62
removal of lesion (e.g. growth)	935
thyroid function tests	29

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	547
Female	747

**Ethnicity**
Non-Hispanic White	1143
Black	30
Hispanic	57
Asian	0
Other	51
Native American	0

**Age**
From 65 to 74	639
From 75 to 84	420
85 and over	103
Less than 65	132

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2021

Hypertension	72
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	39
Depression	18
Chronic Kidney Disease	34
Asthma	13
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	16
Diabetes	31
Dementia	9
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2022 were minimally invasive procedures, gastrointestinal procedures, diagnostic procedures and removal of lesion (e.g. growth).

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	18
blood draw	79
diagnostic procedures	890
doctor visit	1239
esophageal dilation	18
gastrointestinal procedures	990
hospital care	267
inpatient care	267
lab tests	306
minimally invasive procedures	990
preventive care	67
removal of lesion (e.g. growth)	877

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	520
Female	763

**Ethnicity**
Non-Hispanic White	1123
Black	33
Hispanic	56
Asian	0
Other	56
Native American	0

**Age**
From 65 to 74	604
From 75 to 84	449
85 and over	92
Less than 65	138

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2022

Hypertension	73
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	33
Depression	18
Chronic Kidney Disease	20
Asthma	17
Osteoperosis	19
Atrial Fibrilation	17
Heart Failure	13
Chronic Obstructive Pulmonary Disease	20
Diabetes	29
Dementia	5
Cancer	17

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY during 2023 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

balloon dilation	27
blood draw	73
diagnostic procedures	796
doctor visit	1227
esophageal dilation	27
gastrointestinal procedures	909
hospital care	334
inpatient care	334
lab tests	277
minimally invasive procedures	909
preventive care	69
removal of lesion (e.g. growth)	796

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	532
Female	730

**Ethnicity**
Non-Hispanic White	1131
Black	0
Hispanic	41
Asian	0
Other	44
Native American	0

**Age**
From 65 to 74	595
From 75 to 84	433
85 and over	107
Less than 65	127

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	36
Depression	19
Chronic Kidney Disease	23
Asthma	19
Osteoperosis	19
Atrial Fibrilation	17
Heart Failure	15
Chronic Obstructive Pulmonary Disease	21
Diabetes	30
Dementia	6
Cancer	20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Lance M. Siegel, MD for Medicare patients.

The highest averages for the top procedures that Dr. Lance M. Siegel, MD treated as a gastroenterologist in Goshen, NY were gastrointestinal procedures, minimally invasive procedures, diagnostic procedures and removal of lesion (e.g. growth).

balloon dilation	23
blood draw	118
diabetes management	12
diagnostic procedures	758
doctor visit	1043
esophageal dilation	23
foreign body removal	15
gastrointestinal procedures	868
hospital care	532
inpatient care	532
lab tests	462
minimally invasive procedures	868
preventive care	62
removal of lesion (e.g. growth)	754
stent placement (stenting)	18
thyroid function tests	34

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Lance M. Siegel, MD.

**Gender**
Male	483
Female	659

**Ethnicity**
Black / African American	27
Asian / Pacific Islander	1
Non-Hispanic White	1019
Hispanic	44
Native American / Alaskan Native	0
Other	28

**Age**
75 to 84	336
85 and over	128
Less than 65	142
65 to 74	534

Average of Total of Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Lance M. Siegel, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	66
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	38
Depression	18
Chronic Kidney Disease	29
Asthma	16
Osteoporosis	11
Heart Failure	19
Chronic Obstructive Pulmonary Disease	20
Diabetes	30
Atrial Fibrillation	14
Cancer	13
Dementia	9

Education & Training

He has a state license in New York.

Licensed In: New York

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Lance M. Siegel, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AbbVie Inc.	$2,615 Skyrizi $979	Creon $726	Rinvoq $506	Humira $261	LINZESS $130	Other $13
Takeda Pharmaceuticals America, Inc.	$2,205 AMITIZA $1,210	Dexilant $626	ENTYVIO $240	Brintellix $118	Trintellix $11
Janssen Biotech, Inc.	$2,117 STELARA $1,256	SIMPONI $607	REMICADE $185	Tremfya $50	OLYSIO $18
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$1,926 Trulance $961	XIFAXAN $753	Uceris $94	XIFAXANIBSD $61	Moviprep $36	Other $20
AbbVie, Inc.	$1,874 Creon $1,074	Humira $587	Moderiba $106	Viekira $90	$16
Other	$12,315 SUCRAID $895	DUPIXENT $638	XIFAXAN $594	ZEPOSIA $584	PENTASA $520	Other $9,083

**Types of Payments**
Food and Beverage	$22,310
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$400
Entertainment	$285
Education	$56

Biography

Dr. Lance Siegel is a specialist in adult gastroenterology in Goshen, NY. He attended medical school at Albert Einstein College of Medicine of Yeshiva University.

Select Year:

Dr. Lance M. Siegel, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Lance M. Siegel, MD in 2023

By Volume:

By Affordability:

By Affordability:

By Volume:

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2022

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

2023 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD in 2023

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Average Medicare Patient Data From 2012 - 2023

Average of Total of Conditions of Medicare patients treated by Dr. Lance M. Siegel, MD From 2012 - 2023

Education & Training

Ratings & Reviews

General Payments

Biography

Other Providers in Goshen, NY