MEDICARE: ABBY L SIEGEL M.D.

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
1	208000000X	Pediatrics Physician	253161-01	NY

General Provider Information

NPI Number	:	1134182710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY L SIEGEL M.D.

Provider Business Mailing Address
First Line	:	4 CARRIAGE LN
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2221
Country	:	US
Telephone Number	:	301-452-1301
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CARRIAGE LN
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2221
Country	:	US
Telephone Number	:	301-452-1301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	12/26/2025

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