Healthcare Provider Details

I. General information

NPI: 1790976355
Provider Name (Legal Business Name): ADAM MICHAEL SAYLES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 W 62ND ST APT. 17-E
NEW YORK NY
10023-7008
US

IV. Provider business mailing address

44 W 62ND ST APT. 17-E
NEW YORK NY
10023-7008
US

V. Phone/Fax

Practice location:
  • Phone: 212-315-3514
  • Fax:
Mailing address:
  • Phone: 212-315-3514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number188117
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number36032-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: