Sacks, Sandra L
Sacks, Sandra L is an individual health care provider with primary practice located at 95 Crystal Run Rd , Middletown NY 10941-7001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Sacks, Sandra L can be contacted via phone (845) 703-6999.Contact Information
Primary practice address
95 Crystal Run Rd
Middletown NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 211924 | New York |
Profile Details
| NPI number | 1134198880 |
|---|---|
| LBN Legal business name | Sacks, Sandra L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Oct 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134198880 | NPPES |
| New York | MEDICAID | 02620157 |
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