Individual
MARCY SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
314 W STATE ST, ITHACA, NY 14850-5432
(607) 273-1513
(607) 216-0023
Mailing address
314 W STATE ST, ITHACA, NY 14850-5432
(607) 273-1513
(607) 216-0023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330365-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00362863
—
NY
Enumeration date
12/01/2006
Last updated
08/03/2007
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