Individual
JOHN DAVID SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 LYON PL STE 302, OGDENSBURG, NY 13669-2546
(315) 393-7955
(888) 369-9340
Mailing address
3 LYON PL, OGDENSBURG, NY 13669-2590
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
230224-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02524436
—
NY
Enumeration date
06/27/2006
Last updated
04/22/2022
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