Provider Demographics
NPI:1811077795
Name:SAYEGH, PETER KAMEL (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:KAMEL
Last Name:SAYEGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 N BROADWAY
Mailing Address - Street 2:SUITE 309
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1309
Mailing Address - Country:US
Mailing Address - Phone:914-709-0199
Mailing Address - Fax:914-709-0189
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 309
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-709-0199
Practice Address - Fax:914-709-0189
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYOXFORDOtherP3083449
NY3512510OtherAETNA
NYP-12014771OtherMULTIPLAN
NYC10710-4BOtherNYS WORKERS COMPENSATION
NYEMPIRE BC/BSOtherX6R56
NYEMPIRE BC/BSOtherX6R56
NYOXFORDOtherP3083449