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Individual

DEBORAH ANN SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
45 ROUTE 25A, SHOREHAM, NY 11786-1389
(631) 585-5858
Mailing address
45 ROUTE 25A, SHOREHAM, NY 11786-1389

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1939902
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1201504
FIRST HEALTH
01
133507P
HIP
01
1394613
UHC
01
364487963
MAGNACARE
01
3C3473
HEALTHNET
01
5204A1
BCBS
01
5996891
GHI
01
8794391
CIGNA
01
91676
VYTRA
01
98367
AETNA
01
AA51005E
MDNY
01
P404828
OXFORD
01
SD3990
ATLANTIS
Enumeration date
01/09/2007
Last updated
03/31/2021
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