MEDICARE: MRS. SARAH MICHELLE SCHNACK NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	F383743-01	NY

General Provider Information

NPI Number	:	1043041460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH MICHELLE SCHNACK NP

Provider Business Mailing Address
First Line	:	41 E 28TH ST APT 6B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-7957
Country	:	US
Telephone Number	:	402-651-8699
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 W 70TH ST APT 1J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-4462
Country	:	US
Telephone Number	:	212-496-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	08/08/2024

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