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Individual
JUDY FRIED SIEGEL
Active
Individual
JUDY FRIED SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1830621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01679556
—
NY
01
—
1000593
GHI PPO #
NY
01
—
134181009
TAX IDENTIFICATION #
NY
01
—
2565890
AETNA HMO #
NY
01
—
53T331
EMPIRE #
NY
01
—
5411447
AETNA PPO #
NY
01
—
P466087
OXFORD #
NY
Enumeration date
08/31/2005
Last updated
05/15/2015
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