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NPI Code Detail

MEDICARE: DR. JEFFREY KEITH SCHLEGER D.P.M.

MEDICARE: DR. JEFFREY KEITH SCHLEGER D.P.M.
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
1213ES0131XFoot Surgery PodiatristN003339NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PB1141OTHERNYINDIVIDUAL BC/BS

General Provider Information

NPI Number : 1811945751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY KEITH SCHLEGER D.P.M.
Provider Business Mailing Address
First Line : 1940 DEER PARK AVE
Second Line : #330
City : DEER PARK
State : NY
Zip : 11729-3328
Country : US
Telephone Number : 516-242-4648
Fax Number : 516-612-4365
Provider Business Practice Location Address
First Line : 5115 BEACH CHANNEL DR
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-1042
Country : US
Telephone Number : 516-242-4648
Fax Number : 516-612-4365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 12/14/2009

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