Provider Demographics
NPI:1891805966
Name:SCHAUB, MELISSA ANNE (MA, PT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:SCHAUB
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Gender:F
Credentials:MA, PT
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Mailing Address - Street 1:119 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 N OCEANSIDE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5122
Practice Address - Country:US
Practice Address - Phone:516-536-4400
Practice Address - Fax:516-536-4706
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY014514-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ2537QD252Medicare PIN