Basic Information
Provider Information
NPI: 1437195385
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAHLER
FirstName: OLLIE JANE
MiddleName: Z
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 ELMWOOD AVE
Address2: BOX 635
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852757787
FaxNumber:  
Practice Location
Address1: 601 ELMWOOD AVE
Address2: BOX 635
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852757787
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2006
LastUpdateDate: 07/18/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080A0000X125601NYY Allopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
2084P0800X125601NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
101YM0800X125601NYN Behavioral Health & Social Service ProvidersCounselorMental Health
2080H0002X125601NYN Allopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine

No ID Information.


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