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NPI Code Detail

MEDICARE: ALEXIS SCHOONOVER

MEDICARE: ALEXIS SCHOONOVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1346104072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS SCHOONOVER
Provider Business Mailing Address
First Line : 425 PENNSYLVANIA AVE
Second Line :
City : ELMIRA
State : NY
Zip : 14904-1762
Country : US
Telephone Number : 607-737-5568
Fax Number :
Provider Business Practice Location Address
First Line : 425 PENNSYLVANIA AVE
Second Line :
City : ELMIRA
State : NY
Zip : 14904-1762
Country : US
Telephone Number : 607-737-5568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ ALEXIS SCHOONOVER ” Practice Location

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