Individual
DR. HAYLEY R SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
243 W END AVE, NEW YORK, NY 10023
(212) 595-1100
Mailing address
243 W END AVE, NEW YORK, NY 10023-3615
(212) 595-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060407
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2018
Last updated
07/18/2019
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