Provider Demographics
NPI:1376702571
Name:DOLDER, SARAH ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:DOLDER
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 1:20 W 72ND ST
Mailing Address - Street 2:APT 604
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4100
Mailing Address - Country:US
Mailing Address - Phone:917-977-0550
Mailing Address - Fax:
Practice Address - Street 1:20 W 72ND ST
Practice Address - Street 2:APT 604
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4100
Practice Address - Country:US
Practice Address - Phone:917-977-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256082207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology