Provider Demographics
NPI:1164625927
Name:GLEACHER, SARAH ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:GLEACHER
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 1:1 5TH AVE
Mailing Address - Street 2:SUITE 1BB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4312
Mailing Address - Country:US
Mailing Address - Phone:212-255-5800
Mailing Address - Fax:
Practice Address - Street 1:1 5TH AVE
Practice Address - Street 2:SUITE 1BB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4312
Practice Address - Country:US
Practice Address - Phone:212-255-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2184452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry