Individual
DR. ALICE JO SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 EAST 83RD STREET, APT 1A, NEW YORK CITY, NY 10028
(212) 831-8403
(914) 381-4157
Mailing address
119 EAST 83RD STREET, APT 1A, NEW YORK CITY, NY 10028
(212) 831-8403
(914) 381-4157
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
135-323-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01771782
—
NY
01
—
P3357198
OXFORD
NY
Enumeration date
11/30/2006
Last updated
07/08/2007
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