Healthcare Provider Details

I. General information

NPI: 1760224166
Provider Name (Legal Business Name): SARAH-JEAN S. LEIGH PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 W MORRIS ST
BATH NY
14810-1413
US

IV. Provider business mailing address

600 IVY ST STE 206
ELMIRA NY
14905-1627
US

V. Phone/Fax

Practice location:
  • Phone: 607-776-8700
  • Fax: 607-776-3679
Mailing address:
  • Phone: 607-271-2093
  • Fax: 607-271-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number405935
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: