MEDICARE: SIGNATURE OB/GYN LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1609860071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE OB/GYN LLP

Provider Business Mailing Address
First Line	:	30 N UNION RD
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5367
Country	:	US
Telephone Number	:	716-633-6363
Fax Number	:	716-633-4419

Provider Business Practice Location Address
First Line	:	30 N UNION RD
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5367
Country	:	US
Telephone Number	:	716-633-6363
Fax Number	:	716-633-4419

Authorized Official
Title or Position	:	PARTNER
Name	:	MAGDI EDMAND SAYEGH
Credential	:	MD
Telephone Number	:	716-633-6363

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/05/2021

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