Provider Demographics
NPI:1437219680
Name:SAGI, GYORGY A (MD)
Entity Type:Individual
Prefix:DR
First Name:GYORGY
Middle Name:A
Last Name:SAGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 W 102ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4926
Mailing Address - Country:US
Mailing Address - Phone:212-678-1188
Mailing Address - Fax:212-662-5214
Practice Address - Street 1:254 W 102ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4926
Practice Address - Country:US
Practice Address - Phone:212-678-1188
Practice Address - Fax:212-662-5214
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164944-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA61697Medicare UPIN
NY26E713Medicare ID - Type Unspecified