Provider Demographics
NPI:1023321007
Name:SARI SIEGEL
Entity type:Organization
Organization Name:SARI SIEGEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARI
Authorized Official - Middle Name:INA
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS-CCC, SLP
Authorized Official - Phone:917-648-7920
Mailing Address - Street 1:870 MANIDA ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10474-5312
Mailing Address - Country:US
Mailing Address - Phone:917-648-7920
Mailing Address - Fax:
Practice Address - Street 1:870 MANIDA ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-5312
Practice Address - Country:US
Practice Address - Phone:917-648-7920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016866235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty