Individual
MR. CHARLES SIEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 86TH STREET, NEW YORK, NY 10028
(212) 535-0854
Mailing address
525 E 86TH STREET, NEW YORK, NY 10028
(212) 535-0854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
083617
NY
Other
Enumeration date
08/07/2007
Last updated
11/20/2010
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