Healthcare Provider Details

I. General information

NPI: 1518265081
Provider Name (Legal Business Name): ALINA SEGAL P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVE SIUH
STATEN ISLAND NY
10305
US

IV. Provider business mailing address

1463 E 3 ST, APT. 2C
BROOKLYN NY
11230
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-9467
  • Fax:
Mailing address:
  • Phone: 917-704-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number022599-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: