Jack Segal is a Clinical in Goshen, New York. Jack Segal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Segal is 1669542528. The last update date is 2007-07-08.
Jack Segal's current location address is Po Box 337, Goshen, New York. You can contact this provider via phone number 8452945558. The mailing address for Jack Segal is Po Box 337, Goshen, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Segal |
|---|---|
| Address | Po Box 337, Goshen, New York |
| Phone Number | 8452945558 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669542528 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 337 |
|---|---|
| City | Goshen |
| State | New York (NY) |
| Post Code | 109240337 |
| Phone Number | 8452945558 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR021699-1 |
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What is the unique identifier code issued to Jack Segal by the Centers for Medicare & Medicaid Services?
The Jack Segal has been assigned the NPI (National Provider Identifier) 1669542528. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack Segal?
The Jack Segal is physically situated at Po Box 337, in the city of Goshen, state of NY, with the postal code 109240337.
What is Jack Segal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Segal is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Jack Segal receive the assignment of its 1669542528 from the Centers for Medicare & Medicaid Services?
The Jack Segal was issued its 1669542528 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date was the information regarding Jack Segal, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Segal, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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