Provider Demographics
NPI:1831333079
Name:SIGLER-BAUM, JULIE A (BA, MAC, NCCA DIPL)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:SIGLER-BAUM
Suffix:
Gender:F
Credentials:BA, MAC, NCCA DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43A PANTIGO RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-2603
Mailing Address - Country:US
Mailing Address - Phone:631-329-5292
Mailing Address - Fax:631-324-7960
Practice Address - Street 1:43A PANTIGO RD
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-2603
Practice Address - Country:US
Practice Address - Phone:631-329-5292
Practice Address - Fax:631-324-7960
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY-000473171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist