Healthcare Provider Details

I. General information

NPI: 1609835008
Provider Name (Legal Business Name): GERARD HUGH SAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PELHAM PKWY S
BRONX NY
10461-1138
US

IV. Provider business mailing address

1400 PELHAM PKWY S
BRONX NY
10461-1138
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-5000
  • Fax: 718-918-5313
Mailing address:
  • Phone: 718-918-5000
  • Fax: 718-918-5313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC10003843
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberC10003843
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: