Provider Demographics
NPI:1528191418
Name:SEGAL, AYAL (MD)
Entity Type:Individual
Prefix:MR
First Name:AYAL
Middle Name:
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ST. ANDREWS LANE
Mailing Address - Street 2:GLEN COVE HOSPITAL-DEPT OF ORTHOPEDICS
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542
Mailing Address - Country:US
Mailing Address - Phone:516-674-1733
Mailing Address - Fax:
Practice Address - Street 1:101 ST. ANDREWS LANE
Practice Address - Street 2:GLEN COVE HOSPITAL-DEPT OF ORTHOPEDICS
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542
Practice Address - Country:US
Practice Address - Phone:516-674-1733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP14258207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery