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Individual

MARIA ELAINE SCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
141 S CENTRAL AVE, HARTSDALE, NY 10530-2319
(914) 761-4030
(914) 949-2931
Mailing address
141 S CENTRAL AVE, HARTSDALE, NY 10530-2319
(914) 761-4030
(914) 949-2931

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
M0559
TX
2085R0202X
Diagnostic Radiology Physician
Primary
257720
NY
2085R0202X
Diagnostic Radiology Physician
G88749
CA
2085R0202X
Diagnostic Radiology Physician
M0559
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G887490
BLUE SHIELD
CA
05
1154439974
CA
05
172229002
TX
05
172229003
TX
Enumeration date
08/29/2006
Last updated
04/14/2014
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