Healthcare Provider Details

I. General information

NPI: 1245381649
Provider Name (Legal Business Name): SUE SCHEMEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ROUTE 55 STE 101
LAGRANGEVILLE NY
12540
US

IV. Provider business mailing address

1351 ROUTE 55 STE 200
LAGRANGEVILLE NY
12540-5128
US

V. Phone/Fax

Practice location:
  • Phone: 845-485-4455
  • Fax: 845-485-4472
Mailing address:
  • Phone: 845-475-9661
  • Fax: 845-475-9938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number220646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: