Provider Demographics
NPI:1053336818
Name:MERER, MICHELLE SCHIFFER (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:SCHIFFER
Last Name:MERER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRAL AVENUE PEDIATRICS
Mailing Address - Street 2:1075 CENTRAL AVE
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10502
Mailing Address - Country:US
Mailing Address - Phone:914-472-4300
Mailing Address - Fax:914-472-2489
Practice Address - Street 1:1075 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3242
Practice Address - Country:US
Practice Address - Phone:914-472-4300
Practice Address - Fax:914-472-2489
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188050208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics