MEDICARE: DR. JEFFREY P SCHAFFER

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	207RC0000X	Cardiovascular Disease Physician	128040	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700854270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY P SCHAFFER

Provider Business Mailing Address
First Line	:	760 E PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2605
Country	:	US
Telephone Number	:	516-432-6666
Fax Number	:	516-432-7509

Provider Business Practice Location Address
First Line	:	760 E PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2605
Country	:	US
Telephone Number	:	516-432-6666
Fax Number	:	516-432-7509

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	12/20/2007

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