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NPI Code Detail

MEDICARE: JUDY FRIED SIEGEL

MEDICARE: JUDY FRIED SIEGEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist1830621NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153T331OTHERNYEMPIRE #
2P466087OTHERNYOXFORD #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
42565890OTHERNYAETNA HMO #
51000593OTHERNYGHI PPO #
6134181009OTHERNYTAX IDENTIFICATION #
75411447OTHERNYAETNA PPO #

General Provider Information

NPI Number : 1275527632
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY FRIED SIEGEL
Provider Business Mailing Address
First Line : 623 WARBURTON AVE
Second Line :
City : HASTINGS ON HUDSON
State : NY
Zip : 10706-1523
Country : US
Telephone Number : 914-478-3001
Fax Number : 914-478-3001
Provider Business Practice Location Address
First Line : 623 WARBURTON AVE
Second Line :
City : HASTINGS ON HUDSON
State : NY
Zip : 10706-1523
Country : US
Telephone Number : 914-478-3001
Fax Number : 914-478-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 05/15/2015

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