Individual
CARMEN SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
294 PIERMONT AVE, APT. 3C, NYACK, NY 10960-4624
(914) 980-4789
Mailing address
294 PIERMONT AVE, APT. 3C, NYACK, NY 10960-4624
(914) 980-4789
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
192257
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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