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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134230634 NPPES
New York MEDICAID 01421705

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