Provider Demographics
NPI:1447369509
Name:SCHILLER, PATRICIA (ANP, FNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:ANP, FNP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:LILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:235 N BELLE MEAD RD
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3456
Mailing Address - Country:US
Mailing Address - Phone:631-751-3000
Mailing Address - Fax:631-675-2001
Practice Address - Street 1:2500 NESCONSET HWY
Practice Address - Street 2:SUITE 26B
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2555
Practice Address - Country:US
Practice Address - Phone:631-751-8305
Practice Address - Fax:631-751-8318
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301938363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2E2341Medicare UPIN