MEDICARE: MICHELLE SCHIFFER MERER MD

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	208000000X	Pediatrics Physician	188050	NY

General Provider Information

NPI Number	:	1053336818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SCHIFFER MERER MD

Provider Business Mailing Address
First Line	:	CENTRAL AVENUE PEDIATRICS
Second Line	:	1075 CENTRAL AVE
City	:	SCARSDALE
State	:	NY
Zip	:	10502
Country	:	US
Telephone Number	:	914-472-4300
Fax Number	:	914-472-2489

Provider Business Practice Location Address
First Line	:	1075 CENTRAL PARK AVE
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-3242
Country	:	US
Telephone Number	:	914-472-4300
Fax Number	:	914-472-2489

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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