Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 149618 | NY |
NPI | 1063474153 |
---|---|
Provider Name | James A Sakr |
First Address | Dansville, NY 14437-9502 |
Second Address | Dansville, NY 14437-9502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00844064 | (05) | NY |