Provider Demographics
NPI:1982782298
Name:AL SAYGH, INTISAR (MD)
Entity Type:Individual
Prefix:DR
First Name:INTISAR
Middle Name:
Last Name:AL SAYGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 MARINE AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-8003
Mailing Address - Country:US
Mailing Address - Phone:718-680-7724
Mailing Address - Fax:718-745-3651
Practice Address - Street 1:321 MARINE AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8003
Practice Address - Country:US
Practice Address - Phone:718-680-7724
Practice Address - Fax:718-745-3651
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134932207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2C5202Medicare ID - Type Unspecified
NYH16819Medicare UPIN