Provider Demographics
NPI:1154595734
Name:SEGAL, JOSHUA DAVID (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:SEGAL
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:THE BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5000
Mailing Address - Fax:718-240-5042
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:THE BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5000
Practice Address - Fax:718-240-5042
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2013-07-15
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Provider Licenses
StateLicense IDTaxonomies
NY0521511223S0112X
NY260072204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery