Provider Demographics
NPI:1336316348
Name:KUMP & SAYEGH FAMILY MED. SERVICES PC
Entity Type:Organization
Organization Name:KUMP & SAYEGH FAMILY MED. SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-548-4560
Mailing Address - Street 1:140 ELM ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3912
Mailing Address - Country:US
Mailing Address - Phone:914-375-5206
Mailing Address - Fax:914-375-5208
Practice Address - Street 1:140 ELM ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3912
Practice Address - Country:US
Practice Address - Phone:914-375-5206
Practice Address - Fax:914-375-5208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0S05570C10OtherBLUE CROSS BLUE SHIELD
NY01231589Medicaid
NY5900147OtherGHI
NYRC079F2030OtherBLUE CROSS BLUE SHIELD
NY01230139Medicaid
NYRC079F2030OtherBLUE CROSS BLUE SHIELD
NY5900147OtherGHI