MEDICARE: MS. LEAH SCHREIBER RPA-C

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	363A00000X	Physician Assistant	007984	NY

General Provider Information

NPI Number	:	1386942902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEAH SCHREIBER RPA-C

Provider Business Mailing Address
First Line	:	14149 70TH RD
Second Line	:
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-1936
Country	:	US
Telephone Number	:	718-268-5282
Fax Number	:	718-261-4359

Provider Business Practice Location Address
First Line	:	14149 70TH RD
Second Line	:
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-1936
Country	:	US
Telephone Number	:	718-268-5282
Fax Number	:	718-261-4359

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

Provider Enumeration Date	:	03/06/2011
Last Update Date	:	03/06/2011

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