MR. BRYAN WHITMAN SEGALL (NPI# 1669707881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669707881 |
| Entity Type | Individual |
| Full Name | MR. BRYAN WHITMAN SEGALL |
| Credential | SCLA, CSAA |
| Practice Address |
4902 Queens Blvd Woodside NY 11377-4444 |
| Mailing Address |
4215 Utopia Pkwy Flushing NY 11358-2735 |
| Practice Telephone | 7184585333 |
| Practice Fax Number | 7184585335 |
| Mailing Telephone | 6463222970 |
| Mailing Fax Number | 7184585335 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | NY | Other Service Providers |
| Street Address |
4902 QUEENS BLVD |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-4444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194771162 | Krishna Rao Badhey | Internal Medicine | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2006-05-25 |
| 1134529035 | Strategy Anesthesia New York Pllc | Anesthesiology | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2014-08-27 |
| 1366851586 | Jsk Pharmacy Inc | Pharmacy | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2014-08-13 |
| 1124366885 | Sunrise Rx Pharmacy Inc | Pharmacy | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2013-01-30 |
| 1871861856 | Paddu Endo Inc | Internal Medicine | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2011-12-06 |
| 1437426715 | Kms Pharmacy Inc | Pharmacy | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2011-11-30 |
| 1265769814 | Jai Sai Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2009-11-03 |
| 1346575016 | Maliha Sajjad | Pharmacist | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2009-10-13 |
| 1417197542 | Brighton Medical Plaza PC | Internal Medicine | 4902 Queens Blvd, Woodside, NY 11377-4444 | 2009-03-02 |
| 1063690113 | Dream Dental, PC | Dentist | 4902 Queens Blvd, 3rd Floor, Woodside, NY 11377-4462 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581980 | Ranendra Pratap Malla | Contractor | 3422 57th St Fl 1, Woodside, NY 11377-2124 | 2019-01-03 |
| 1275975864 | Heather N Clarke | Contractor | 3047 Hobart St, Apt 3j, Woodside, NY 11377-1463 | 2013-07-23 |
| 1598102766 | Latavia Evans | Contractor | 5016 31st Ave, 3a, Woodside, NY 11377-1354 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022455 | Michael Charles Findlay | Contractor | 9509 32nd Ave Fl 1, East Elmhurst, NY 11369-1849 | 2020-10-27 |
| 1659971869 | Stephanie Rosario | Contractor | 1184 Evergreen Ave Apt 6d, Bronx, NY 10472-3235 | 2020-10-27 |
| 1306443791 | Julie Ann Hall | Contractor | 2326 Valley View Dr, Allegany, NY 14706-9669 | 2020-10-08 |
| 1104431618 | Elizabeth Anne Oakes-lani | Contractor | 5 Motts Ln, Glenwood Landing, NY 11547-3015 | 2020-09-11 |
| 1295357598 | Scale Rcm | Contractor | 251 Mountainview Ave Ste 7, Nyack, NY 10960-1700 | 2020-05-11 |
| 1972124758 | Christopher Boston | Contractor | 24917 148th Rd, Rosedale, NY 11422-2711 | 2020-05-03 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1063046845 | Valerie Kaufman | Contractor | 3611 Henry Hudson Pkwy Apt 5b, Bronx, NY 10463-1554 | 2020-03-02 |
| 1033742671 | Rochester Flooring Kitchen & Bath Inc. | Contractor | 360 Jefferson Rd, Rochester, NY 14623-2644 | 2020-02-21 |
| 1881239317 | Whitney L Coventry | Contractor | 26 Greenwood Dr, Orchard Park, NY 14127-3913 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.