MEDICARE: DR. BENJAMIN M SCHAEFER 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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	270188	NY
2	207RC0000X	Cardiovascular Disease Physician	270188	NY
3	207R00000X	Internal Medicine Physician	270188	NY

General Provider Information

NPI Number	:	1083649263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN M SCHAEFER MD

Provider Business Mailing Address
First Line	:	1 COLUMBIA ST 200
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-3924
Country	:	US
Telephone Number	:	845-473-1188
Fax Number	:	845-485-8937

Provider Business Practice Location Address
First Line	:	6511 SPRING BROOK AVE STE 1006
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-3709
Country	:	US
Telephone Number	:	845-876-0508
Fax Number	:	845-876-0405

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	12/26/2024

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