Healthcare Provider Details

I. General information

NPI: 1295401032
Provider Name (Legal Business Name): MEGAN SCHNEIDER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3884 BROADWAY ST
CHEEKTOWAGA NY
14227-1111
US

IV. Provider business mailing address

4979 HARLEM RD
AMHERST NY
14226-2547
US

V. Phone/Fax

Practice location:
  • Phone: 716-681-9000
  • Fax: 716-256-1079
Mailing address:
  • Phone: 716-923-4380
  • Fax: 716-923-4384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number027032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: