Individual
DR. DAVID M SACKNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WEST CARVER STREET, HUNTINGTON, NY 11743
(631) 421-0020
(631) 421-4738
Mailing address
200 WEST CARVER STREET, HUNTINGTON, NY 11743
(631) 421-0020
(631) 421-4738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
178807
NY
207RC0000X
Cardiovascular Disease Physician
Primary
178807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01573344
—
NY
01
—
062
NEW YORK MEDICAID SPECIAL
—
01
—
0C8779
HEALTHNET
—
01
—
110095209
RRMC
—
01
—
1336817
UNITED
—
01
—
178807
HIP
—
01
—
394899
CONNECTICARE
—
01
—
4498664
AETNA
—
01
—
47582
VYTRA
—
01
—
4973454001
CIGNA
—
01
—
CIM-CVD
WCB RATING CODE
—
01
—
DS003J4410
BLUE CROSS BLUE SHIELD ID
—
01
—
SD8807
ATLANTIS
—
01
—
Y046026
CHAPUS ID
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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