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Organization

J DAVID SCHAEFER MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DAVID SCHAEFER M.D. (OWNER)
(315) 393-7955
Entity
Organization

Contact information

Practice address
3 LYON PLACE, STE 302, OGDENSBURG, NY 13669
(315) 393-7955
(315) 393-7927
Mailing address
3 LYON PLACE, STE 200, OGDENSBURG, NY 13669
(315) 393-7955
(315) 393-7927

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
06/21/2006
Last updated
08/03/2010
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