Provider Demographics
NPI:1659117323
Name:SCHRADER, EMILY CLAIRE (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CLAIRE
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 S BENZING RD STE L
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1741
Mailing Address - Country:US
Mailing Address - Phone:716-667-2653
Mailing Address - Fax:
Practice Address - Street 1:3670 S BENZING RD STE L
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1741
Practice Address - Country:US
Practice Address - Phone:716-667-2653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor