Provider Demographics
NPI:1083649263
Name:SCHAEFER, BENJAMIN M (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:M
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 COLUMBIA ST 200
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3924
Mailing Address - Country:US
Mailing Address - Phone:845-473-1188
Mailing Address - Fax:845-485-8937
Practice Address - Street 1:6511 SPRING BROOK AVE STE 1006
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-3709
Practice Address - Country:US
Practice Address - Phone:845-876-0508
Practice Address - Fax:845-876-0405
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY270188207RB0002X, 207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine