MEDICARE: MRS. REBECCA LEIGH SCHNITZER LPN

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
1	164W00000X	Licensed Practical Nurse	271171-1	NY

General Provider Information

NPI Number	:	1346707304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA LEIGH SCHNITZER LPN

Provider Business Mailing Address
First Line	:	26 CHURCH ST
Second Line	:
City	:	ELBA
State	:	NY
Zip	:	14058-9765
Country	:	US
Telephone Number	:	585-409-4430
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 CHURCH ST
Second Line	:
City	:	ELBA
State	:	NY
Zip	:	14058-9765
Country	:	US
Telephone Number	:	585-409-4430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	02/26/2019

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