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NPI Code Detail

MEDICARE: DR. DENIZE DA SILVA-SIEGEL M.D.

MEDICARE: DR. DENIZE DA SILVA-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
12084P0800XPsychiatry Physician225981NY
22084P0804XChild & Adolescent Psychiatry Physician225981NY

General Provider Information

NPI Number : 1306964689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENIZE DA SILVA-SIEGEL M.D.
Provider Business Mailing Address
First Line : 750 KAPPOCK ST
Second Line : #510
City : BRONX
State : NY
Zip : 10463-4612
Country : US
Telephone Number : 347-275-3650
Fax Number : 718-548-3408
Provider Business Practice Location Address
First Line : 575 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-5002
Country : US
Telephone Number : 212-342-3060
Fax Number : 212-342-6010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 12/11/2012

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