Organization
ELENA SCHMUTER MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA A SCHMUTER D.O. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
43 MAPLE RUN CT, JERICHO, NY 11753-2830
(631) 271-9151
Mailing address
PO BOX 471, JERICHO, NY 11753-0471
(631) 271-9151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
239634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239634
STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
10/02/2017
Last updated
10/02/2017
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