Individual
MRS. ALYSSA SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1744 RYDER ST, BROOKLYN, NY 11234-4309
(718) 645-5200
Mailing address
1744 RYDER ST, BROOKLYN, NY 11234-4309
(718) 645-5200
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
5789999
NY
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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