Provider Demographics
NPI:1518117183
Name:SEGURA-MALADY, EVELYN E
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:E
Last Name:SEGURA-MALADY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 W 83RD ST
Mailing Address - Street 2:APT. R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5256
Mailing Address - Country:US
Mailing Address - Phone:914-320-6437
Mailing Address - Fax:
Practice Address - Street 1:80 MAIDEN LN
Practice Address - Street 2:C/O AHRC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4811
Practice Address - Country:US
Practice Address - Phone:212-780-2578
Practice Address - Fax:212-777-3918
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist