Provider Demographics
NPI:1750499653
Name:SACCHI, TERRENCE J (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:J
Last Name:SACCHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5448
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-5448
Mailing Address - Country:US
Mailing Address - Phone:717-625-3999
Mailing Address - Fax:717-625-3987
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:DIVISION OF CARDIOLOGY - NEW YORK METHODIST HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-5612
Practice Address - Fax:718-780-7877
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2012-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY132077-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00859765Medicaid
NY00859765Medicaid
NY52A531Medicare PIN