MEDICARE: PETER WILHELM SCHLOSSHAUER MD

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	207ZP0101X	Anatomic Pathology Physician	252063	NY

General Provider Information

NPI Number	:	1578561387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER WILHELM SCHLOSSHAUER MD

Provider Business Mailing Address
First Line	:	100 CHARLES LINDBERGH BLVD
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11553-3631
Country	:	US
Telephone Number	:	516-512-5200
Fax Number	:	516-512-5300

Provider Business Practice Location Address
First Line	:	100 CHARLES LINDBERGH BLVD
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11553-3631
Country	:	US
Telephone Number	:	516-512-5200
Fax Number	:	516-512-5300

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	01/20/2011

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