Individual
LEE S SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6620 FLY RD, 200, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
(315) 464-5229
Mailing address
6620 FLY RD, 20, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
(315) 464-5229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
281009
NY
207X00000X
Orthopaedic Surgery Physician
62204-20
WI
207XP3100X
Pediatric Orthopaedic Surgery Physician
281009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012168010001
—
PA
05
—
257233
—
AZ
Enumeration date
04/17/2006
Last updated
08/31/2015
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