Provider Demographics
NPI:1164874186
Name:SAYEGH, GHASSAN PHILIP (DO)
Entity Type:Individual
Prefix:DR
First Name:GHASSAN
Middle Name:PHILIP
Last Name:SAYEGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2628
Mailing Address - Country:US
Mailing Address - Phone:914-968-5800
Mailing Address - Fax:
Practice Address - Street 1:970 N BROADWAY STE 310
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1311
Practice Address - Country:US
Practice Address - Phone:914-200-5083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-02
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY756166811390200000X
NY292328207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program