Provider Demographics
NPI:1225213713
Name:MICHAEL EVAN SACHS, MD, PC
Entity Type:Organization
Organization Name:MICHAEL EVAN SACHS, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:SACHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-315-0333
Mailing Address - Street 1:128 CENTRAL PARK S
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1565
Mailing Address - Country:US
Mailing Address - Phone:212-315-0333
Mailing Address - Fax:212-586-1794
Practice Address - Street 1:128 CENTRAL PARK S
Practice Address - Street 2:SUITE 1-D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1565
Practice Address - Country:US
Practice Address - Phone:212-315-0333
Practice Address - Fax:212-586-1794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131958207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO7558Medicare UPIN