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NPI Code Detail

MEDICARE: PATRICK SCHMIDLEIN DO

MEDICARE:   PATRICK  SCHMIDLEIN  DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY
2208000000XPediatrics Physician298677NY

General Provider Information

NPI Number : 1518312651
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK SCHMIDLEIN DO
Provider Business Mailing Address
First Line : 309 GOLD ST APT 26E
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-1299
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 99 DIVISION AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11249-6620
Country : US
Telephone Number : 718-599-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2016
Last Update Date : 07/10/2019

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