Provider Demographics
NPI:1891924742
Name:PALLIATIVE MEDICINE OF NEW YORK, PLLC
Entity Type:Organization
Organization Name:PALLIATIVE MEDICINE OF NEW YORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-533-2290
Mailing Address - Street 1:26 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10590-1932
Mailing Address - Country:US
Mailing Address - Phone:914-533-2290
Mailing Address - Fax:718-960-4517
Practice Address - Street 1:26 SHADY LN
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590-1932
Practice Address - Country:US
Practice Address - Phone:914-533-2290
Practice Address - Fax:718-960-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty