Basic Information
| Provider Information | |||||||||
| NPI: | 1164753497 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHIEMANN | ||||||||
| FirstName: | MEGHAN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 OLD PLANK RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CLIFTON PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120653107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183710777 | ||||||||
| FaxNumber: | 5183710366 | ||||||||
| Practice Location | |||||||||
| Address1: | 9 OLD PLANK RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CLIFTON PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120653107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183710777 | ||||||||
| FaxNumber: | 5183710366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2010 | ||||||||
| LastUpdateDate: | 10/15/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 013389 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.