Basic Information
| Provider Information | |||||||||
| NPI: | 1235290784 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SCHAUS | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | ANDREW | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | COTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 499 JERUSALEM HILL RD | ||||||||
| Address2: | |||||||||
| City: | ELMIRA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 149019587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077339218 | ||||||||
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| Practice Location | |||||||||
| Address1: | 555 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | ELMIRA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 149013223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077336541 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 002341-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.