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NPI Code Detail

MEDICARE: RONALD H SACKS MD

MEDICARE: RONALD H SACKS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician195243NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265431993
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD H SACKS MD
Provider Business Mailing Address
First Line : PO BOX 159
Second Line :
City : ONEONTA
State : NY
Zip : 13820-0159
Country : US
Telephone Number : 888-432-7442
Fax Number : 607-433-0869
Provider Business Practice Location Address
First Line : 179 N BROAD ST
Second Line :
City : NORWICH
State : NY
Zip : 13815-1019
Country : US
Telephone Number : 607-337-4149
Fax Number : 607-337-4205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/21/2008

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