Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 307091 | NY |
NPI | 1003219163 |
---|---|
Provider Name | Ms. Sarah Kai Acker |
First Address | Brooklyn, NY 11205-2647 |
Second Address | New York, NY 10001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2014 |
Last Update Date | 07/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04017130 | (05) | NY |