Healthcare Provider Details

I. General information

NPI: 1518036540
Provider Name (Legal Business Name): LORI SCHLEICHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE MHB 6-435
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

177 FORT WASHINGTON AVE MHB 6-435
NEW YORK NY
10032-3733
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-7115
  • Fax: 212-305-3035
Mailing address:
  • Phone: 212-305-7115
  • Fax: 212-305-3035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number25MA08423900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number25MA08423900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number235351-1
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA08423900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: