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General NPI Number Information
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NPI Number | 1518244698
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Entity Type | Organization
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Legal Business Name | MARTIN SAYEGH PHYSICIAN P.C.
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 626 MCLEAN AVENUE
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City | YONKERS
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State | NY
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Zip | 10705
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Country | US
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Telephone | 914-423-5000
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Fax | 914-966-8003
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Provider Business Mailing Address
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Address Line | 626 MCLEAN AVENUE
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City | YONKERS
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State | NY
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Zip | 10705
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Country | US
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Telephone | 914-423-5000
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Fax | 914-966-8003
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. MARTIN J. SAYEGH
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Credential | M.D.
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Telephone | 914-423-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 160165
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License Number State | NY
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