Individual
MS. FANNY SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC LAC
Contact information
Practice address
4939 STATE HWY 23, NORWICH, NY 13815
(607) 373-3797
Mailing address
257 AURORA DR, NORWICH, NY 13815-3173
(607) 316-0944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007383
NY
171100000X
Acupuncturist
Primary
005636
NY
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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