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Individual

DR. JEFFREY KEITH SCHLEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(516) 242-4648
(516) 612-4365
Mailing address
1940 DEER PARK AVE, #330, DEER PARK, NY 11729-3328
(516) 242-4648
(516) 612-4365

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003339
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01285978
NY
01
PB1141
INDIVIDUAL BC/BS
NY
Enumeration date
05/04/2006
Last updated
12/14/2009
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