Provider Demographics
NPI:1679548218
Name:SCHAFF, ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:SCHAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HIGHLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8926
Mailing Address - Country:US
Mailing Address - Phone:585-233-2124
Mailing Address - Fax:484-472-8639
Practice Address - Street 1:2 HIGHLAND PARK DR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8926
Practice Address - Country:US
Practice Address - Phone:585-233-2124
Practice Address - Fax:724-439-4479
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007921208000000X
PAMD431024208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00354307Medicaid
NY00354307Medicaid
NYCC5441Medicare ID - Type Unspecified
NY00354307Medicaid