Sacca, Michael Joseph

Sacca, Michael Joseph is an individual health care provider with primary practice located at 580 Union Blvd , West Islip NY 11795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sacca, Michael Joseph can be contacted via phone (631) 321-6801.

Contact Information

Primary practice address
580 Union Blvd West Islip NY 11795
Phone: (631) 321-6801
Fax: (631) 321-3869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 203794 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 203794 New York

Profile Details

NPI number 1275553547
LBN Legal business name Sacca, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275553547 NPPES
New York MEDICAID 01821865

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