Individual
DR. BRUCE SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E 79TH ST, NEW YORK, NY 10021-0847
(212) 737-7800
(212) 737-0251
Mailing address
215 E 79TH ST, NEW YORK, NY 10021-0847
(212) 737-7800
(212) 737-0251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
175631-1
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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