Provider Demographics
NPI:1285724187
Name:SAYSENG, LOLITA A (MD)
Entity type:Individual
Prefix:
First Name:LOLITA
Middle Name:A
Last Name:SAYSENG
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 1:852 W HARTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1211
Mailing Address - Country:US
Mailing Address - Phone:718-920-5905
Mailing Address - Fax:718-652-4435
Practice Address - Street 1:ADULT MEDICINE PRACTICE
Practice Address - Street 2:3444 KOSSUTH AVENUE, 5TH FL.
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-5905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine