Individual
MR. BRYAN WHITMAN SEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SCLA, CSAA
Contact information
Practice address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 458-5333
(718) 458-5335
Mailing address
4215 UTOPIA PKWY, FLUSHING, NY 11358-2735
(646) 322-2970
(718) 458-5335
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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