Provider Demographics
NPI:1487667515
Name:SCHLEGEL, MARC LIVINGSTON (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:LIVINGSTON
Last Name:SCHLEGEL
Suffix:
Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:1120 YOUNGS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2645
Mailing Address - Country:US
Mailing Address - Phone:716-923-7326
Mailing Address - Fax:716-250-4000
Practice Address - Street 1:1120 YOUNGS RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2645
Practice Address - Country:US
Practice Address - Phone:716-923-7326
Practice Address - Fax:716-250-4000
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2013-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY010041-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPA0896Medicare ID - Type Unspecified
NYQ45973Medicare UPIN