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Individual
GLENN HARRIS SEGAL
Active
Individual
GLENN HARRIS SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017632-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01891565
—
NY
01
—
GS0Q4W1E1
MEDICARE PIN#
NY
Enumeration date
12/22/2005
Last updated
07/09/2007
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