Healthcare Provider Details

I. General information

NPI: 1497826093
Provider Name (Legal Business Name): ALAN HARRIS SIEGEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 N GREENWICH RD
ARMONK NY
10504-2311
US

IV. Provider business mailing address

7 WATCH HILL RD
PLEASANTVILLE NY
10570-2534
US

V. Phone/Fax

Practice location:
  • Phone: 914-202-0700
  • Fax:
Mailing address:
  • Phone: 917-359-8901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX008294
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: