Provider Demographics
NPI:1346937018
Name:SCHALET, EMILY ROSE (PA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:SCHALET
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:540 MADISON AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3634
Mailing Address - Country:US
Mailing Address - Phone:631-626-1450
Mailing Address - Fax:
Practice Address - Street 1:540 MADISON AVE APT 1R
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3634
Practice Address - Country:US
Practice Address - Phone:631-626-1450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical