Sacks, Ronald H

Sacks, Ronald H is an individual health care provider with primary practice located at 179 N Broad St , Norwich NY 13815-1019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sacks, Ronald H can be contacted via phone (607) 337-4149.

Contact Information

Primary practice address
179 N Broad St Norwich NY 13815-1019
Fax: (607) 337-4205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 195243 New York

Profile Details

NPI number 1265431993
LBN Legal business name Sacks, Ronald H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 21st, 2008 - about 16 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 1265431993 NPPES
New York MEDICAID 01561857

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