Healthcare Provider Details

I. General information

NPI: 1720043920
Provider Name (Legal Business Name): NASEM JAMES SAYEGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 PARK AVE
YONKERS NY
10703-2934
US

IV. Provider business mailing address

102 PARK AVE
YONKERS NY
10703-2934
US

V. Phone/Fax

Practice location:
  • Phone: 914-965-4300
  • Fax: 914-965-7625
Mailing address:
  • Phone: 914-965-4300
  • Fax: 914-965-7625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number148454
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: