Provider Demographics
NPI:1104188135
Name:SIEGLE, ANN HANDMAN
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:HANDMAN
Last Name:SIEGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:882 ROUTE 13
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3528
Mailing Address - Country:US
Mailing Address - Phone:607-753-9375
Mailing Address - Fax:607-758-9287
Practice Address - Street 1:882 ROUTE 13
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3528
Practice Address - Country:US
Practice Address - Phone:607-753-9375
Practice Address - Fax:607-758-9287
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040459831174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist