Provider Demographics
NPI:1245814466
Name:SAKHO NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:SAKHO NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MMAMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-362-8920
Mailing Address - Street 1:23 CLOVERFIELD RD S
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2421
Mailing Address - Country:US
Mailing Address - Phone:917-362-8920
Mailing Address - Fax:
Practice Address - Street 1:11572 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1028
Practice Address - Country:US
Practice Address - Phone:718-276-8666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty