Individual
DR. MICHAEL JOHN SCHAEFER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 W 52ND ST, NEW YORK, NY 10019-6239
(212) 376-3180
Mailing address
355 W 52ND ST, NEW YORK, NY 10019-6239
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
250148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093965741
AETNA
NY
01
—
9211658
AETNA
NY
Enumeration date
09/30/2008
Last updated
03/30/2021
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