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NPI Code Detail

MEDICARE: REBEKAH SCHU

MEDICARE: REBEKAH SCHU
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1194207241
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH SCHU
Provider Business Mailing Address
First Line : 1001 W FAYETTE ST STE 400
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2866
Country : US
Telephone Number : 315-937-3433
Fax Number :
Provider Business Practice Location Address
First Line : 4500 PEWTER LN BLDG 1
Second Line :
City : MANLIUS
State : NY
Zip : 13104-7704
Country : US
Telephone Number : 315-682-6600
Fax Number : 315-682-0570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 03/15/2022

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Directions to “ REBEKAH SCHU ” Practice Location

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