Individual
JAN SCHREUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 E END AVE, NEW YORK, NY 10028-7907
(212) 734-8874
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
162460
NY
Other
Enumeration date
01/08/2007
Last updated
10/14/2010
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