Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 022599-1 | NY |
NPI | 1518265081 |
---|---|
Provider Name | Ms. Alina Segal |
First Address | Brooklyn, NY 11230 |
Second Address | Staten Island, NY 10305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2011 |
Last Update Date | 08/03/2011 |