Provider Demographics
NPI:1104805639
Name:SACHARSKI, EILEEN (MD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:
Last Name:SACHARSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2539 BEDFORD ST APT 34D
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3932
Mailing Address - Country:US
Mailing Address - Phone:914-548-8819
Mailing Address - Fax:914-925-5499
Practice Address - Street 1:2539 BEDFORD ST APT 34D
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3932
Practice Address - Country:US
Practice Address - Phone:914-548-8819
Practice Address - Fax:914-925-5499
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158946208000000X
NY158946-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01037470046Medicaid
NY01037470046Medicaid