Provider Demographics
NPI:1760534804
Name:SEGAL, HYLAN T (DDS)
Entity Type:Individual
Prefix:
First Name:HYLAN
Middle Name:T
Last Name:SEGAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PADDINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2322
Mailing Address - Country:US
Mailing Address - Phone:914-723-0170
Mailing Address - Fax:914-723-0171
Practice Address - Street 1:8409 35TH AVE
Practice Address - Street 2:APT 1F
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-5454
Practice Address - Country:US
Practice Address - Phone:718-639-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17846122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist