Individual
DR. MATTHEW PHILIP SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
279 PROSPECT PARK W APT 1I, BROOKLYN, NY 11215-6273
(917) 439-3141
Mailing address
279 PROSPECT PARK W APT 1I, BROOKLYN, NY 11215-6273
(917) 439-3141
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
019172
NY
103TC1900X
Counseling Psychologist
7771286
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300055086
MEDICARE PTAN
NY
Enumeration date
12/11/2009
Last updated
11/20/2025
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