Healthcare Provider Details

I. General information

NPI: 1023132453
Provider Name (Legal Business Name): STEVEN ANDREW SCHULZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NORTH ST SUITE 101
GENEVA NY
14456-1561
US

IV. Provider business mailing address

200 NORTH ST SUITE 101
GENEVA NY
14456-1561
US

V. Phone/Fax

Practice location:
  • Phone: 315-787-5200
  • Fax: 315-787-5221
Mailing address:
  • Phone: 315-787-5200
  • Fax: 315-787-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036125134
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number275280
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: