Provider Demographics
NPI:1346002300
Name:CORINA SEGAL MENTAL HEALTH COUNSELING, P.C.
Entity Type:Organization
Organization Name:CORINA SEGAL MENTAL HEALTH COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-903-1087
Mailing Address - Street 1:2500 NESCONSET HWY BLDG 4B
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2551
Mailing Address - Country:US
Mailing Address - Phone:631-903-1087
Mailing Address - Fax:
Practice Address - Street 1:2500 NESCONSET HWY BLDG 4B
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2551
Practice Address - Country:US
Practice Address - Phone:631-903-1087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty