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Individual

JAYME K SCHRECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
510 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 663-0500
(315) 663-0514
Mailing address
510 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 663-0500
(315) 663-0514

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
282469
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
430907
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04852755
NY
01
J400415799
MEDICARE PIN
NY
Enumeration date
06/03/2015
Last updated
05/24/2022
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