Provider Demographics
NPI:1578561387
Name:SCHLOSSHAUER, PETER WILHELM (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:WILHELM
Last Name:SCHLOSSHAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 CHARLES LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3631
Mailing Address - Country:US
Mailing Address - Phone:516-512-5200
Mailing Address - Fax:516-512-5300
Practice Address - Street 1:100 CHARLES LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3631
Practice Address - Country:US
Practice Address - Phone:516-512-5200
Practice Address - Fax:516-512-5300
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252063207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology