Basic Information
| Provider Information | |||||||||
| NPI: | 1922607027 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SIEGRIST | ||||||||
| FirstName: | ALEXANDRA | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 58 SAINT MARKS PL APT 515 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112175182 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8318698922 | ||||||||
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| Practice Location | |||||||||
| Address1: | 258 COURT STREET | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6465185560 | ||||||||
| FaxNumber: | 2123792188 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2020 | ||||||||
| LastUpdateDate: | 11/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 225100000X | P107293 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.