Provider Demographics
NPI:1083893820
Name:KARYN SACKSTEIN D.C.,P.C.
Entity Type:Organization
Organization Name:KARYN SACKSTEIN D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:I
Authorized Official - Last Name:SACKSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-766-1950
Mailing Address - Street 1:945 WALT WHITMAN RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2209
Mailing Address - Country:US
Mailing Address - Phone:516-423-2006
Mailing Address - Fax:
Practice Address - Street 1:1 DAVISON AVE W
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2114
Practice Address - Country:US
Practice Address - Phone:516-766-1950
Practice Address - Fax:516-766-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYXNW771Medicare PIN