Provider Demographics
NPI:1871661033
Name:SCHAEFFER, JANIS I (MD PC)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:I
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 NEW HYDE PARK
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1214
Mailing Address - Country:US
Mailing Address - Phone:516-488-7575
Mailing Address - Fax:516-488-7585
Practice Address - Street 1:3003 NEW HYDE PARK
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1214
Practice Address - Country:US
Practice Address - Phone:516-488-7575
Practice Address - Fax:516-488-7585
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1469782080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AP536OtherOXFORD
2C6174OtherHEALTHNET