MEDICARE: DR. DIANE 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
1	2084P0800X	Psychiatry Physician	144474	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1871534891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANE SACKS MD

Provider Business Mailing Address
First Line	:	12510 QUEENS BLVD APT 2007
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1534
Country	:	US
Telephone Number	:	718-380-6885
Fax Number	:	631-425-2455

Provider Business Practice Location Address
First Line	:	12510 QUEENS BLVD APT 2007
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1534
Country	:	US
Telephone Number	:	718-380-6885
Fax Number	:	631-425-2455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/08/2026

Similar Medicare Providers

1710655345 — MELISSA ANNE RIZZITANO
Practice Location Address:

1137 VINTNER BLVD
PALM BEACH GARDENS, FL
33410-1534

Practice Phone: 508-284-8938
Practice Fax:

1033052642 — WORTHY OF WELLNESS LLC
Practice Location Address:

12518 QUEENS BLVD
KEW GARDENS, NY
11415-1503

Practice Phone: 347-885-7102
Practice Fax:

1053124701 — JEANNE LOUISE ESTREBA QUILLD P.T.
Practice Location Address:

8046 KEW GARDENS RD, KEW GARDENS
QUEENS, NY
11415

Practice Phone: 718-261-1000
Practice Fax:

1477556462 — DR. HOWARD JAY KIRSCHNER DDS
Practice Location Address:

12510 QUEENS BLVD , SUITE 1707
KEW GARDENS, NY
11415-1532

Practice Phone: 718-263-9797
Practice Fax: 718-263-3925

1194721043 — MARIAN DAVID, MD, PC
Practice Location Address:

12510 QUEENS BLVD , SUITE 2701
KEW GARDENS, NY
11415-1519

Practice Phone: 718-261-0444
Practice Fax: 718-261-0940

1841283108 — DR. MICHAEL JAY GOODMAN DDS
Practice Location Address:

12301 82ND RD
KEW GARDENS, NY
11415-1601

Practice Phone: 718-261-6303
Practice Fax: 718-261-0307

Directions to “ DR. DIANE SACKS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.