NPI 1669707881

Bryan Whitman Segall, SCLACSAA

Practitioner Contractor Woodside, NY

Practice location

Address: 4902 Queens Blvd, Woodside, NY 11377-4444
Phone: (718) 458-5333
Fax: (718) 458-5335
Mailing address: 4215 Utopia Pkwy, Flushing, NY 11358-2735

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in New York →

Registry record

NPI: 1669707881
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2009
Record last updated: 6 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.