Segal, Gershon Samuel
Segal, Gershon Samuel is an individual health care provider with primary practice located at 728 N Main St , Spring Valley NY 10977-1960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Segal, Gershon Samuel can be contacted via phone (845) 354-9300.Contact Information
Primary practice address
728 N Main St
Spring Valley NY 10977-1960
Phone: (845) 354-9300
Fax: (845) 354-4298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 193996 | New York |
Profile Details
| NPI number | 1134230634 |
|---|---|
| LBN Legal business name | Segal, Gershon Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 11th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134230634 | NPPES |
| New York | MEDICAID | 01421705 |
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