Individual
GREGORY L SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 CONHOCTON ST, CORNING, NY 14830-2911
(607) 973-8600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01023987
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
244641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02898584
—
NY
05
—
100186800A
—
IN
Enumeration date
05/03/2006
Last updated
12/05/2011
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