Provider Demographics
NPI:1821012683
Name:SCHUMER, MARY L (NP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:L
Last Name:SCHUMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:515 ABBOTT RD
Mailing Address - Street 2:STE 304
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1700
Mailing Address - Country:US
Mailing Address - Phone:716-828-3520
Mailing Address - Fax:716-828-3550
Practice Address - Street 1:515 ABBOTT RD
Practice Address - Street 2:STE 304
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1700
Practice Address - Country:US
Practice Address - Phone:716-828-3520
Practice Address - Fax:716-828-3550
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2011-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY360114363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9512334OtherINDEPENDENT HEALTH
NY040426002643OtherFIDELIS
NY00026761502OtherUNIVERA
NYP00249206OtherRAILROAD MEDICARE
NY00056037703OtherBLUE CROSS OF WNY
NYDD0561Medicare ID - Type UnspecifiedMEDICARE PART B
NY9512334OtherINDEPENDENT HEALTH