Doctor Name: | ADAM SIEGEL |
NPI Number: | 1033405261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 526 Old Liverpool Rd Liverpool, NY - 130886238 |
Business Phone Number: | 3154533911 |
Business Fax Number: | 3154530197 |
Mailing Address: | 526 Old Liverpool Rd, LIVERPOOL |
State: | NY |
Postal Code: | 130886238 |
Phone Number: | 3154533911 |
Fax Number: | 3154530197 |
NPI Enumeration Date: | 06/27/2011 |
NPI Last Update Date: | 08/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |