Healthcare Provider Details

I. General information

NPI: 1114245735
Provider Name (Legal Business Name): YAEL SADAN ZACK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LONGVIEW AVE 2ND FLOOR
WHITE PLAINS NY
10601-5000
US

IV. Provider business mailing address

2 LONGVIEW AVE 2ND FLOOR
WHITE PLAINS NY
10601-5000
US

V. Phone/Fax

Practice location:
  • Phone: 914-849-7600
  • Fax: 914-849-7696
Mailing address:
  • Phone: 914-849-7600
  • Fax: 914-849-7696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number256040
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: