Healthcare Provider Details

I. General information

NPI: 1962864058
Provider Name (Legal Business Name): PETER SAYEGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N MAIN ST STE 2
NEW CITY NY
10956-4021
US

IV. Provider business mailing address

301 N MAIN ST STE 2
NEW CITY NY
10956-4021
US

V. Phone/Fax

Practice location:
  • Phone: 845-638-0400
  • Fax:
Mailing address:
  • Phone: 845-638-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number1879307
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number1879307
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: