Individual
MR. GERALD E SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1006 DICKENS ST, FAR ROCKAWAY, NY 11691-2407
(718) 327-7219
Mailing address
1006 DICKENS ST, FAR ROCKAWAY, NY 11691-2407
(718) 327-7219
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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