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NPI Code Detail

MEDICARE: DAVID SCHAFFER LICSW

MEDICARE: DAVID SCHAFFER LICSW
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
11041C0700XClinical Social Worker089.0099223VT
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1669871380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCHAFFER LICSW
Provider Business Mailing Address
First Line : 53 HASBROUCK RD
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-3512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 257 MAIN ST
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-1610
Country : US
Telephone Number : 845-532-6064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 11/10/2022

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