MEDICARE: DR. BRYANT SIGLER PSYD

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	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1861384018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYANT SIGLER PSYD

Provider Business Mailing Address
First Line	:	232 MAIN ST
Second Line	:
City	:	CORNWALL
State	:	NY
Zip	:	12518-1514
Country	:	US
Telephone Number	:	301-964-0065
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 NORMANSKILL BLVD STE 202
Second Line	:
City	:	DELMAR
State	:	NY
Zip	:	12054-1331
Country	:	US
Telephone Number	:	518-496-3903
Fax Number	:

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

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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