Individual
DR. CHAIM SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
246 BEACH 13TH ST, FAR ROCKAWAY, NY 11691-5506
(718) 207-3474
Mailing address
246 BEACH 13TH ST, FAR ROCKAWAY, NY 11691-5506
(718) 207-3474
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
019727
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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