MEDICARE: MS. GIGI CHUNG SIEBERG M.S. ED., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	014767	NY

General Provider Information

NPI Number	:	1447495270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GIGI CHUNG SIEBERG M.S. ED., CCC-SLP

Provider Business Mailing Address
First Line	:	1855 STILLWELL AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2439
Country	:	US
Telephone Number	:	718-627-7550
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 STILLWELL AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2439
Country	:	US
Telephone Number	:	718-627-7550
Fax Number	:

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

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	11/28/2016

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Directions to “ MS. GIGI CHUNG SIEBERG M.S. ED., CCC-SLP” Practice Location

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