Provider Demographics
NPI:1407574338
Name:SAKAL, NECHAMA
Entity Type:Individual
Prefix:
First Name:NECHAMA
Middle Name:
Last Name:SAKAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7904 149TH STREET
Mailing Address - Street 2:APT 1I
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3840
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7904 149TH STREET
Practice Address - Street 2:APT 1I
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3840
Practice Address - Country:US
Practice Address - Phone:718-570-6951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF349847-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily