Provider Demographics
NPI:1336125137
Name:SEGAL, ROBERT RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RAFAEL
Last Name:SEGAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:255 E 74TH ST
Mailing Address - Street 2:APT 29A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3687
Mailing Address - Country:US
Mailing Address - Phone:212-772-0005
Mailing Address - Fax:212-772-0006
Practice Address - Street 1:207 EAST 57TH STREET
Practice Address - Street 2:SUITE # 17 B
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-772-0005
Practice Address - Fax:212-772-0006
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2021-06-08
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Provider Licenses
StateLicense IDTaxonomies
NY215309207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease