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Individual

BARRY MITCHEL SIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2090 MADISON AVE APT 3D, NEW YORK, NY 10037-3418
(212) 694-8795
Mailing address
2090 MADISON AVE APT 3D, NEW YORK, NY 10037-3418
(212) 694-8795

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO56574-1
NY

Other

Enumeration date
01/08/2010
Last updated
01/08/2010
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