Healthcare Provider Details

I. General information

NPI: 1124476080
Provider Name (Legal Business Name): EMILY LYNN SIEGEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

150 E 42ND ST
NEW YORK NY
10017-5612
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8288
  • Fax:
Mailing address:
  • Phone: 212-987-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number343228
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: