Healthcare Provider Details

I. General information

NPI: 1932998408
Provider Name (Legal Business Name): SARAH SIEGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 LEXINGTON AVE APT 26E
NEW YORK NY
10035-2918
US

IV. Provider business mailing address

7150 PARSONS BLVD APT 8M
FLUSHING NY
11365-4111
US

V. Phone/Fax

Practice location:
  • Phone: 646-360-0221
  • Fax:
Mailing address:
  • Phone: 347-781-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: