=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477588556
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW YORK CATARACT & LASER EYE CARE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2006
-----------------------------------------------------
Last Update Date | 04/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 157 LOCKWOOD AVE
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-476-5496
-----------------------------------------------------
Fax | 914-476-5498
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 157 LOCKWOOD AVE
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10701-5027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-476-5496
-----------------------------------------------------
Fax | 914-476-5498
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. MICHAEL SW SAYEGH
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 914-476-5496
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 204919
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------