Basic Information
Provider Information
NPI: 1982716320
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAMEL
FirstName: PATRICK
MiddleName: BRUCE
NamePrefix: MR.
NameSuffix: I
Credential: RPA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 220 STEUBEN ST
Address2:  
City: MONTOUR FALLS
State: NY
PostalCode: 148659740
CountryCode: US
TelephoneNumber: 6075358639
FaxNumber: 6075354433
Practice Location
Address1: 220 STEUBEN ST
Address2:  
City: MONTOUR FALLS
State: NY
PostalCode: 148659740
CountryCode: US
TelephoneNumber: 6075358639
FaxNumber: 6075354433
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 10/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X0031381NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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