Organization
SAYEGH & KUMP FAMILY MED PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA SOTO (OFFICE MANAGER)
(718) 548-4560
Entity
Organization
Contact information
Practice address
530 W 236TH ST, 1D, BRONX, NY 10463-1748
(718) 548-4568
(718) 548-6959
Mailing address
530 W 236TH ST, 1D, BRONX, NY 10463-1748
(718) 548-4568
(718) 548-6959
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497007
—
NY
01
—
0S06705410
BLUE CROSS BLUE SHIELD
—
01
—
5900147
GHI
NY
01
—
P00282495
RAILROAD RETIREMENT PLAN
NY
01
—
RC0855V161
BLUE CROSS BLUE SHIELD
NY
Enumeration date
04/25/2008
Last updated
05/19/2008
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