=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396983573
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH J. SCHLESINGER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2009
-----------------------------------------------------
Last Update Date | 01/27/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1230 YORK AVE # 176
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065-6307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-327-8451
-----------------------------------------------------
Fax | 212-327-8875
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1230 YORK AVE # 176
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065-6307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-327-8451
-----------------------------------------------------
Fax | 212-327-8875
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207ZI0100X
-----------------------------------------------------
Taxonomy Name | Immunopathology Physician
-----------------------------------------------------
License Number | 167365-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------