Sack, Peter G

Sack, Peter G is an sole proprietor health care provider with primary practice located at 3333 Henry Hudson Pkwy , Bronx NY 10463-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Sack, Peter G can be contacted via phone (718) 884-6400.

Contact Information

Primary practice address
3333 Henry Hudson Pkwy Bronx NY 10463-3224
Phone: (718) 884-6400
Fax: (718) 796-0210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 106810 New York
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 106810 New York

Profile Details

NPI number 1801944962
LBN Legal business name Sack, Peter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801944962 NPPES
New York Other 106810 N01 HIP
New York MEDICAID 00187628 HIP

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