MEDICARE: DR. SCOTT L SCHABEL M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	186645	NY
2	207R00000X	Internal Medicine Physician	186645	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110082571	OTHER		RR MEDICARE

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	:	1902808223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT L SCHABEL M.D.

Provider Business Mailing Address
First Line	:	3156 EAST AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3428
Country	:	US
Telephone Number	:	585-348-8286
Fax Number	:	888-506-8599

Provider Business Practice Location Address
First Line	:	1415 PORTLAND AVE
Second Line	:	SUITE 200
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3038
Country	:	US
Telephone Number	:	585-348-8286
Fax Number	:	888-506-8599

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/07/2023

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Directions to “ DR. SCOTT L SCHABEL M.D.” Practice Location

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