Provider Demographics
NPI:1164753497
Name:SCHIEMANN, MEGHAN E (PA-C)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:E
Last Name:SCHIEMANN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9 OLD PLANK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3107
Mailing Address - Country:US
Mailing Address - Phone:518-371-0777
Mailing Address - Fax:518-371-0366
Practice Address - Street 1:9 OLD PLANK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3107
Practice Address - Country:US
Practice Address - Phone:518-371-0777
Practice Address - Fax:518-371-0366
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013389363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant