Provider Demographics
NPI:1477735389
Name:SIEGEL, KAREN LYNNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNNE
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:444 COMUNNITY DRIVE MEDICAL CENTER
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-627-7070
Mailing Address - Fax:516-627-5970
Practice Address - Street 1:444 COMUNNITY DRIVE MEDICAL CENTER
Practice Address - Street 2:SUITE 301
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-627-7070
Practice Address - Fax:516-627-5970
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06445103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical