Healthcare Provider Details

I. General information

NPI: 1033201959
Provider Name (Legal Business Name): CALVIN LEE SCHIERER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5596 ROUTE 19A
CASTILE NY
14427-9757
US

IV. Provider business mailing address

9734 ROUTE 19
HOUGHTON NY
14744-8771
US

V. Phone/Fax

Practice location:
  • Phone: 585-793-9230
  • Fax: 585-786-0508
Mailing address:
  • Phone: 585-567-2285
  • Fax: 585-567-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number177372
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: