Individual
SUBHADRA SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
19 BRADHURST AVE, STE 1400, HAWTHORNE, NY 10532-2140
(914) 593-8333
(914) 594-4366
Mailing address
19 BRADHURST AVE, STE 1400, HAWTHORNE, NY 10532-2140
(914) 593-8333
(914) 594-4366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
237952
NY
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
237952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03120069
—
NY
Enumeration date
03/13/2007
Last updated
02/03/2015
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