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Individual

JACK SADACKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
813 QUENTIN RD STE 202, BROOKLYN, NY 11223-2220
(718) 645-2618
(718) 645-2641
Mailing address
2317 AVENUE R, BROOKLYN, NY 11229-2427
(718) 336-4737

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
231797
NY

Other

Enumeration date
10/24/2006
Last updated
04/29/2019
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