Provider Demographics
NPI:1477801157
Name:SINACK, RONALD
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:SINACK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 EDGEMERE DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1161
Mailing Address - Country:US
Mailing Address - Phone:732-505-8277
Mailing Address - Fax:732-341-2306
Practice Address - Street 1:221 EDGEMERE DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1161
Practice Address - Country:US
Practice Address - Phone:732-505-8277
Practice Address - Fax:732-341-2306
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist