Healthcare Provider Details

I. General information

NPI: 1104805639
Provider Name (Legal Business Name): EILEEN SACHARSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2539 BEDFORD ST APT 34D
STAMFORD CT
06905-3932
US

IV. Provider business mailing address

2539 BEDFORD ST APT 34D
STAMFORD CT
06905-3932
US

V. Phone/Fax

Practice location:
  • Phone: 914-548-8819
  • Fax: 914-925-5499
Mailing address:
  • Phone: 914-548-8819
  • Fax: 914-925-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number158946
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number158946-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: