MEDICARE: JOY SPIEGEL LCSW

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	1041C0700X	Clinical Social Worker	R074598-1	NY

General Provider Information

NPI Number	:	1881709327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY SPIEGEL LCSW

Provider Business Mailing Address
First Line	:	667 STONELEIGH AVE
Second Line	:	SUITE 202
City	:	CARMEL
State	:	NY
Zip	:	10512-2454
Country	:	US
Telephone Number	:	845-279-5908
Fax Number	:	845-279-5447

Provider Business Practice Location Address
First Line	:	1940 COMMERCE ST
Second Line	:	SUITE 300
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4428
Country	:	US
Telephone Number	:	914-245-0437
Fax Number	:	914-245-0438

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

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