Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elisa Michelle Siegel

Individual provider Specialist · NPI 1417482803

Elisa Michelle Siegel is a Specialist in Merrick, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

1640 Richard Ave
Merrick, NY 11566-2314
Phone: (516) 208-3802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1787964 (NY)

Record details

NPI number1417482803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESApril 24, 2017

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