Individual
DR. DIANE SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12510 QUEENS BLVD APT 2007, KEW GARDENS, NY 11415-1534
(718) 380-6885
(631) 425-2455
Mailing address
12510 QUEENS BLVD APT 2007, KEW GARDENS, NY 11415-1534
(718) 380-6885
(631) 425-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
144474
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816564
—
NY
Enumeration date
06/09/2006
Last updated
01/08/2026
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