Provider Demographics
NPI:1083454870
Name:PATRIOT MEDICAL NYC PC
Entity type:Organization
Organization Name:PATRIOT MEDICAL NYC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-709-4858
Mailing Address - Street 1:838 FAIR ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3085
Mailing Address - Country:US
Mailing Address - Phone:914-236-4121
Mailing Address - Fax:914-709-4858
Practice Address - Street 1:4499 MANHATTAN COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3919
Practice Address - Country:US
Practice Address - Phone:914-505-6142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty