Sacknoff, Andrea L

Sacknoff, Andrea L is an individual health care provider with primary practice located at 200 West Carver St , Huntington NY 11743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Sacknoff, Andrea L can be contacted via phone (631) 421-0020.

Contact Information

Primary practice address
200 West Carver St Huntington NY 11743
Phone: (631) 421-0020
Fax: (631) 421-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1797661 New York

Profile Details

NPI number 1215049390
LBN Legal business name Sacknoff, Andrea L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

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 1215049390 NPPES
Other 112234962 TAX ID
Other 00110970 TAX ID
Other 3C1456 TAX ID
Other AS03V12910 TAX ID
Other 74976 TAX ID
Other 179766 TAX ID
Other 394971 TAX ID
Other P2069468 TAX ID
Other 179766 TAX ID
Other 1797661 TAX ID
Other 112234962 TAX ID
Other 1183411 TAX ID
Other 2611409 TAX ID
Other 3C1456 TAX ID
Other PP50275 TAX ID
MEDICAID 01608740 TAX ID
Other 112234962 TAX ID

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