Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 193202 | NY |
NPI | 1427027671 |
---|---|
Provider Name | Dr. Ellen Beth Schaeffer |
First Address | North Syracuse, NY 13212 |
Second Address | North Syracuse, NY 13212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E27345 | (02) | NY |