Healthcare Provider Details

I. General information

NPI: 1386021640
Provider Name (Legal Business Name): EMILY SACHS LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 12/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD STE 105
YORK PA
17403-5049
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-7575
  • Fax: 717-812-5154
Mailing address:
  • Phone: 717-851-6757
  • Fax: 717-812-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDN005428
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN005428
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: