Healthcare Provider Details

I. General information

NPI: 1831590645
Provider Name (Legal Business Name): CHRISTINA MAUREEN SCHUBERT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA MAUREEN KEEGAN

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 08/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 THEALL RD
RYE NY
10580-1404
US

IV. Provider business mailing address

1 THEALL RD
RYE NY
10580-1404
US

V. Phone/Fax

Practice location:
  • Phone: 914-848-8800
  • Fax: 914-848-8801
Mailing address:
  • Phone: 914-848-8800
  • Fax: 914-848-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number017943
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: