Healthcare Provider Details

I. General information

NPI: 1700990348
Provider Name (Legal Business Name): LINDA M SCHIFFHAUER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

49 CORRAL DR
PENFIELD NY
14526-9773
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-3270
  • Fax: 585-273-3637
Mailing address:
  • Phone: 585-671-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number213286
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: