Individual
AMANDA SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 JENNINGS ST, BRONX, NY 10460-6032
(718) 861-0727
Mailing address
30 CHARLTON ST APT 1F, NEW YORK, NY 10014-4924
(201) 788-6632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098119
NY
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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