Provider Demographics
NPI:1558573584
Name:SAHAKIAN, JACQUES (MD)
Entity Type:Individual
Prefix:DR
First Name:JACQUES
Middle Name:
Last Name:SAHAKIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JACQUES
Other - Middle Name:JOSEPH, JOSEPH EMILE
Other - Last Name:SAHAKIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27 FORTUNE RD E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1634
Mailing Address - Country:US
Mailing Address - Phone:845-695-2176
Mailing Address - Fax:
Practice Address - Street 1:117 SEWARD AVE BLDG 92
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-1903
Practice Address - Country:US
Practice Address - Phone:845-341-2525
Practice Address - Fax:845-341-2580
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168188-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine