Provider Demographics
NPI:1982861696
Name:PETER SASS, M.D., P.C.
Entity Type:Organization
Organization Name:PETER SASS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-396-1722
Mailing Address - Street 1:167 E 82ND ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1856
Mailing Address - Country:US
Mailing Address - Phone:212-396-1722
Mailing Address - Fax:212-396-1722
Practice Address - Street 1:167 E 82ND ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1856
Practice Address - Country:US
Practice Address - Phone:212-396-1722
Practice Address - Fax:212-396-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty