Individual
JILL SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(267) 235-6744
Mailing address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(267) 235-6744
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001211
NY
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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