Provider Demographics
NPI:1730131582
Name:SCHUBMEHL, JOHN B (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:B
Last Name:SCHUBMEHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PITTSFORD VICTOR RD STE 20
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3822
Mailing Address - Country:US
Mailing Address - Phone:585-248-0900
Mailing Address - Fax:585-248-3566
Practice Address - Street 1:1000 PITTSFORD VICTOR RD STE 20
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3822
Practice Address - Country:US
Practice Address - Phone:585-248-0900
Practice Address - Fax:585-248-3566
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1705732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01231438Medicaid
NYJ400067729Medicare PIN
NY01231438Medicaid