Provider Demographics
NPI:1568473676
Name:HAGLER, SARAH (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:HAGLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 GRAND ST
Mailing Address - Street 2:APT. 105
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4383
Mailing Address - Country:US
Mailing Address - Phone:212-539-1033
Mailing Address - Fax:
Practice Address - Street 1:577 GRAND ST
Practice Address - Street 2:APT. 105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4383
Practice Address - Country:US
Practice Address - Phone:212-539-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043358-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist