Organization · Type 2 NPI

Sagaponack Medical PC

Medical Specialty Clinic/Center · Sag Harbor, NY

NPI number 1407351646 Active

Practice location

3350 Noyac Rd
Sag Harbor, NY 11963-1908

Call (631) 731-1099 Map

Other practice locations

3330 Noyack Rd, Sag Harbor, NY 11963-1930 · (631) 731-1099

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

5 other providers at this address

NPI record

NPI: 1407351646
Entity type: Organization (Type 2)
Issued: Mar 29, 2018
Last updated: Jul 8, 2026
Status: Active

Other names

<unavail>
Halsey Dermatology · doing business as
Sag Harbor Dermatology · doing business as
Sag Harbor Dermatology · doing business as

Authorized official

Mark A. Halsey, MD
President
(631) 731-1099

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407351646

Sagaponack Medical PC's National Provider Identifier is 1407351646, issued on Mar 29, 2018. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Sag Harbor, NY. The record was last updated on Jul 8, 2026.