Individual
DANIEL DAVID SACOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1436 BROADWAY, HEWLETT, NY 11557-1405
(929) 210-6550
(929) 210-6551
Mailing address
1436 BROADWAY, HEWLETT, NY 11557-1405
(929) 210-6550
(929) 210-6551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214978
NY
Other
Enumeration date
11/07/2006
Last updated
10/14/2014
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